BEFORE THE PRESIDING OFFICER INDUSTRIAL TRIBUNAL, CUM- LABOUR COURT, NO_________.
Mr./Ms. _________ S/o,D/o
Shri _________, Resident of _________, District, State _________
_________ Address _________, _________ Through its _________, _________
APPLICATION UNDER SECTION _________ , OF THE INDUSTRIAL DISPUTES ACT, _________
It is respectfully submitted as under: –
1- That the respondent appointed the applicant/claimant on __________________.
2- That the applicant/claimant __________________.
3- That on __________________.
4- That the claimant __________________.
5- That __________________.
6- That the _________ other dues which are outstanding against respondent are fully mentioned in the Annexure-A enclosed herewith.
7- That the applicant/claimant is entitled to receive _________ from the respondent as annexed in Annexure-A.
It is, therefore, prayed that the application of the applicant may kindly be accepted and order may kindly be passed to make the payment of __________/- with interest to the applicant/claimant which is fully mentioned in Annexure–A.
_________ S/o/D/o _________ Resident _________
Seat No. _________, _________
_________ Courts, _________
Verified that the contents of my above application from Paras No. _________ to _________ are true to best of my knowledge and belief.
Verified at _________ on_________