The Industrial Relations (Andhra Pradesh) Rules, 2026
Form IX
Official text
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(See rule 26)
(APPLICATION UNDER SUB-SECTION (2) OF SECTION 59 OF THE INDUSTRIAL RELATIONS
CODE,2020)
Before the State Government Industrial Tribunal at. ………....................................
Between.........................
1. Applicant(s)
and.
1. Opposite Party (Employer)
(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.........................................................