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Contents of the IR Rules (Andhra Pradesh)

The Industrial Relations (Andhra Pradesh) Rules, 2026

Form X

Made under The Industrial Relations Code, 2020G.O.Rt. No. 111, 12 Jun 2026

Official text

Open in the official PDF (p. 48)

Tables and forms lose their layout when extracted; the PDF is the authoritative version.

[See rule 26]

(APPLICATION BY A PERSON WHO IS AN ASSIGNEE OR HEIR OF A DECEASED

WORKER UNDER SUB SECTION(2) OF SECTION 59 OF THE INDUSTRIAL

RELATIONS CODE, 2020)

Before the State 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.........................................................

Source: The Industrial Relations (Andhra Pradesh) Rules, 2026, G.O.Rt. No. 111 — Andhra Pradesh Gazette Extraordinary (as ordered by G.O.Rt. No. 111), p. 48 of the PDF. Open our copy at p. 48 · official download · all sources

Text from the Government Order that orders the notification's publication in the Andhra Pradesh Gazette; the Gazette issue itself was not found on the AP e-Gazette.