Form VII

[(See rules 33 (5) and (8)]

Notice for Appearance before the Competent Authority/Summon

(Strike out the words not applicable)

To,

(Name and address of the employer/applicant)

Whereas Shri/Smt/Kumari …………………………..an employee under youor a nominee(s)or legal

heir(s) of Shri/Smt/Kumari………………………………….an employee under the above-mentioned

employer, has/have filed an application under sub-rule (4) of rule 33 of the Social Security(Central)

Rules, 2026 alleging that----

(A copy of the said application is enclosed, if summon is issued then copy of application is not

required)

Now, therefore, you are hereby called upon/summoned to appear before the Competent Authority at

…………………..(place)either personally or through a person duly authorised in this behalf for the

purpose of answering all material questions relating to the application on the ….. day of

…………20….. at …………….'O' clock in the forenoon/afternoon in support of/to answer the

allegation; and as the day fixed for your appearance is appointed for final disposal of the application,

you must be prepared to produce on that day all the witnesses upon whose evidence, and the

documents upon which you intend to rely in support of your allegation/defence.

Take notice that in default of your appearance on the day before-mentioned, the application will be

dismissed/heard and determined in your absence.

Whereas your attendance is required to give evidenceor you are required to produce the documents

mentioned in the list below, on behalf of ……….. in the case arising out of the claim for gratuity

by………. Form………….. and referred to this Authority by an application under section 56 of the

Code on Social Security, 2020 (36 of 2020), you are hereby summoned to appear personally before

this Authority on the ……. day of ……..20…………….. at ………… ‗O‘clock in the

forenoon/afternoon and to bring the said documents with you.

List of documents-

1.

2.

3. so on

Given under my hand and seal, this …………..day of …………..20…..

Competent Authority

under the Code on Social Security Code, 2020

Note: 1. Strike out the words and paragraphs not applicable.

2. The portion not applicable to be deleted.

3. The summons shall be issued in duplicate. The duplicate is to be signed and returned by the

persons served before the date fixed.

4.In case the summons are issued only for producing a document and not to given evidence it will

be sufficient compliance to the summons if the documents are caused to be produced before the

Competent authority on the day and hour fixed for the purpose.