Form XII

Made under The Industrial Relations Code, 2020No. LAB(W) 11/2021, 17 Dec 2021

Official text

Open in the official PDF (p. 30)

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

(See Rule 36, 57 & 58)

(Authorization by a worker, group of worker, employer, group of employer to be represented in a proceeding

before the authority under this Code).

Before the Authority(Here mention the authority concerned)

In the matter of: (mention the name of the proceeding)

.............................................workers

Versus

………….................................................................................................Employer

I/we hereby authorize Shri/Sarvashri (if representatives are more than one)1.........2............3 to represent

me/us in the above matter.

Dated this......................day of..............................20..........

Signature of person(s) nominating the

representative(s)

Address Accepted.

Source: The Industrial Relation (Arunachal Pradesh) Rules, 2021, No. LAB(W) 11/2021 — Arunachal Pradesh Gazette Extraordinary No. 286, Vol. XXVIII, 23 December 2021, p. 30 of the PDF. Open our copy at p. 30 · official download · all sources