Form XIV

(See rules 30, 31, 33 and 35)

(APPLICATION FOR PERMISSION TO LAY-OFF/CONTINUATION OF LAY-OFF/ RETRENCHMENT/

CLOSURE TO THE CENTRAL GOVERNMENT UNDER CHAPTER X OF THE INDUSTRIAL RELATIONS

CODE, 2020)

(To be submitted online. In case of exigencies on paper in the specified format below)

Name of industrial establishment or undertaking or employer.....................................

Labour Identification Number.........................................................................................

Dated.................

( Note: The application to the Central Government shall be served as indicated below:

Lay-off : at least 15 days before the intended Lay-off

Continuation of Lay-off – at least 15 days before the expiry of earlier lay-off

Retrenchment – at least 60 days before the intended date of retrenchment

Closure – at least 90 days before the intended date of closure)

To,

The Secretary to the Government of India,

Ministry of Labour and Employment

New Delhi

1. *(Lay-off) (a). Under section 78(2) of the Industrial Relations Code, 2020 (35 of 2020), I*/we* hereby apply for

“permission to lay-off ……….workers** out of total of …….. workers** employed in my*/our* establishment

(details to be given in Annexure-I) with effect from ……….. (DD/MM/YYYY) for the reasons explained in Annexure-

I..

or

*(Continuation of lay-off) (b) Under section 78(3) of the Industrial Relations Code, 2020 (35 of 2020), I*/we*

hereby apply for permission to continue the Lay-off .........workers** out of total of …….. laid off workers** in

my*/our* establishment (details to be given in Annexure-I) with effect from ……….. (DD/MM/YYYY) for the

reasons explained in Annexure-I.

or

*(Retrenchment) (c) Under section 79(2) of the Industrial Relations Code, 2020 (35 of 2020), I*/we* hereby apply

for permission for intended retrenchment of................. workers out of total of …….. workers** employed in

my*/our* establishment (details to be given in Annexure-I) with effect from ……….. (DD/MM/YYYY) for the

reasons explained in Annexure-I.

or

*(Closure) (d) Under section 80(1) of the Industrial Relations Code, 2020 (35 of 2020), I / we* hereby inform you

that I*/we* intended to close down the undertaking........................................ (name of the industrial establishment

or undertaking or employer) (details to be given in Annexure-I) with effect from............. (DD/MM/YYYY) for the

reasons explained in Annexure-I.. The number of workers whose services would be terminated on account of the

closure of the undertaking is................. (number of workers).

* (Lay-off/Continuation of Lay-off) The worker(s) concerned were given on .................. (DD/MM/YYYY) notice in

writing as required under section 78(2)*/ section 78(3)* of the Industrial Relations Code, 2020 (35 of 2020).

or

*(Retrenchment/ Closure) The worker(s) concerned were given on……... (DD/MM/YYYY) three month’s notice

in writing as required under section 79*/ section 80* of the Industrial Relations Code, 2020 (35 of 2020).

or

*(Retrenchment/ Closure) The worker(s) have been given on……... (DD/MM/YYYY) three month’s pay in lieu of

notice as required under section 79*/ section 80* of the Industrial Relations Code, 2020 (35 of 2020).

2. The details of affected worker(s) is at Annexure II.

3. (Retrenchment) I*/we* hereby declare that the workers concerned will be retrenched in compliance to the

section 71 and section 72 of the Industrial Relations Code, 2020 (35 of 2020).

4. *I/We* hereby declare that the worker(s) concerned have been*/will be* paid all the dues and compensation due

to them under section 67, read with section 78(10)*/ section 79* / section 80* of the Industrial Relations Code,

2020 (35 of 2020) before or on the expiry of the notice period.

or

*I/We hereby state that currently Insolvency proceedings are on in respect of the said Industrial

Establishment/Undertaking/Employer, and that I*/we* will pay all the dues along with the compensation due to

them under concerned laws.

5. I/ we* hereby declare that no court case is pending before any Court in the matter, and if yes, the details thereof

have been annexed herewith.

6. I/ we hereby declare that the above information given by me/ us* in this notice and enclosures is/ are* true, I/ we

am/ are solely responsible for its accuracy and no facts/ materials has been suppressed in the matter.

The permission sought for may please be granted.

Yours faithfully,

(Name of employer/ ***authorised representative

with seal)

(* Strike off which is not applicable.)

(** Indicate number in figures and word both)

(***Copy of authorisation letter issued by the employer shall be enclosed)