Format of Annexure for Amount Details Format

BEFORE THE PRESIDING OFFICER INDUSTRIAL TRIBUNAL, CUM- LABOUR COURT, NO_________ _________.
_________ VERSUS _________
APPLICATION UNDER SECTION _________ , OF THE INDUSTRIAL DISPUTES ACT, _________
ANNEXURE
| Details | Amount |
| Total | _________/- |
Dated : CLAIMANT
_________ Seat No. _________,
_________ Courts, _________