Contents of the IR Rules (Arunachal Pradesh)

The Industrial Relation (Arunachal Pradesh) Rules, 2021

Form XVIII

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

Official text

Open in the official PDF (p. 33)

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

[See rule 41 (2)]

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 (35 of 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......................... 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 Relation (Arunachal Pradesh) Rules, 2021, No. LAB(W) 11/2021 — Arunachal Pradesh Gazette Extraordinary No. 286, Vol. XXVIII, 23 December 2021, p. 33 of the PDF. Open our copy at p. 33 · official download · all sources