The Industrial Relations (Central) Rules, 2026
Form IX
Official text
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(See rule 24)
[(APPLICATION TO TRIBUNAL UNDER SECTION 59(2) OF THE INDUSTRIAL RELATIONS CODE, 2020
BY WORKER)]
Before the Central Government Industrial Tribunal at. ……….
............................................................. between......................... and.
.........................................................................................
(1) Name of the applicant(s) ……………………………………………………………………….
(2) Name of the employer ………………………………………………………………………….
The petitioner(s) .................... a worker of ......................M/s. ..............................of
.........................................The petitioner(s) undersigned, worker/workers of ............................ is/are entitled to receive
from the said M/s. .................................. the money /benefits mentioned in the statement hereto annexed.
It is prayed that the Tribunal may be pleased to determine the amount /amounts due to the petitioner (s).
Signature or thumb impression (s) of the applicant(s)
Address (es) ……………………………………………………..
Place......................................................
Date.........................................................