Form XXII

[See Rule 47, 51, and 60 ]

[Application for permission of Lay-off/Continuation of Lay-off/Retrenchment/Closure to be

given by an employer/Industrial establishment/Undertaking to the State Government under

the provisions of Chapter X of the Industrial Relations Code, 2020 and rules made thereunder]

(To be submitted online. In case of exigencies on paper in the prescribed Format below)

Name of Industrial Establishment or Undertaking or Employer.......................

Labour Identification Number......................................................................................

Dated.................

Note: The application to the Central Government shall be served as indicated below:

Lay-off:atleast15 days before the intended Lay-off

Continuation of Lay-off – at least 15 days before the expiry of earlier Lay-off

Retrenchment – at least 60 days before the intended date of Retrenchment

Closure–atleast 90 days before the intended date of Closure

To,

The Pricipal Secretary/Secretary,

Labour and Employment Department,

Government of Arunachal Pradesh,

Itanagar.

1. *(Layoff)(a). Under section 78(2) of the Industrial Relations Code, 2020, I*/we *hereby apply for

permission to lay-off………. workers**out of total of…….. workers**employed in my*/our* establishment

(details to be given in Annex-I) with effect from (DD/MM/YYYY).

or

*(Continuation of lay-off) (b) Under section 78(3) of the Industrial Relations Code, 2020,I*/we*hereby

apply for permission to continue the Lay-off.........workers**out of total of……..laid off workers**in my*/

our*establishment(details to be given in Annex-I) with effect from………............(DD/MM/YYYY).

or

*(Retrenchment) (c) Under section 79(2) of the Industrial Relations Code,2020,I*/we*hereby apply for

perm ission for intended retrenchment of................. workers out of total of

…………….workers**employed in my*/our*establishment (details to be given in Annex-I) with effect

from………………….(DD/MM/YYYY).

or

*(Closure) (d) Under section 80(1) of the Industrial Relations Code, 2020, I /we* hereby in Form you

that I*/we* intended to close down the undertaking........................................ (name of the industrial

establishment or undertaking or employer)(details to be given in Annex-1)with effect from.............(DD/

MM/YYYY). The number of workers whose services would be terminated on account of the closure

of the undertaking is (number of workers)

2. *(Lay-off/Continuation of Lay-off)The worker(s) concerned were given on ..................(DD/MM/YYYY)

notice in writing as required under section 78(2)*/section 78(3)*of this Code.

or

*(Retrenchment/Closure) The worker(s) concerned were given on……... (DD/MM/YYYY) one month‘s

notice in writing as required under section 79*/section 80*of this Code.

or

*(Retrenchment/Closure) The worker(s) have been given on ……............. (DD/MM/YYYY) one

month‘s pay in lieu of notice as required under section 79*/section 80*of this Code.

3. The details of affected worker(s) are at Annexure II.

4. (Retrenchment)I*/we*hereby declare that the workers concerned will be retrenched in compliance to

the Section 71 and section 72 of this Code.

5. *I/We*hereby declare that the worker(s) concerned have been*/will be*paid all the dues and

compensation due to them under section 67, read with section 78(10)*/ section 79* / section 80* of

this Code before or on the expiry of the notice period.

or

*I/We hereby state that currently Insolvency proceedings are on in respect of the said Industrial

Establishment/ Undertaking/ Employer, and that I*/we* will pay all the dues alongwith the compensation

due to them under concerned laws.

6. I/ we* hereby declare that no court case is pending before any Court in the matter, and if yes, the

details thereof have been Annexed.

7. I/ we hereby declare that the above information given by me/us* in this notice and enclosures is/

are*true, I/we am/are solely responsible for its accuracy and no facts/materials has been suppressed

in the matter.

The permission sought for may please be granted.

Yours faithfully, (Name of Employer/***Authorised

Representative with Seal)

(*Strike off which is not applicable.)

(**Indicate number in figure sand word both)

(***Copy of Authorization letter issued by the employer shall been closed)