The Industrial Relations (Central) Rules, 2026
Form X
Official text
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[See rule 24]
(APPLICATION UNDER SECTION 59(2) OF THE INDUSTRIAL RELATIONS CODE, 2020 BY ASSIGNEE/
HEIR OF DECEASED WORKER)
Before the Central Government Industrial Tribunal at ................................ Between
(i) Name of the applicant/applicants ……………………………………………….
(ii) Name of the employer …………………………………………………………………..
I am/We are the assignee(s) of the deceased worker and am/are entitled to make an application on his behalf.
Shri/Smt................... former worker of M/s .......................... of........................is entitled to receive from the
said M/s............................ the money/benefits mentioned in the statement hereto annexed;
It is prayed that the Tribunal be pleased to determine the amount/amounts due to the deceased worker.
Name and Address of worker..........................
Signature of the assignee/heirs
Address (es) ……………………………………………………..
Place......................................................
Date.........................................................