Form X

[(See Rule 8 (5),(8)]

Notice for Appearance before the Competent Authority/Summon

(Strike out the words not applicable)

To,

(Name and address of the employer/applicant)

Whereas Shri …………………………..an employee under you/a nominee(s)/legal

heir(s) of Shri………………………………….an employee under the above-mentioned

employer, has/have filed an application under sub-rule ........... of rule .......... of the Social

Security(Bihar) Rules, 2026 alleging that......... (A copy of the said application is enclosed,

if, summon is issued then copy of application is not required) Now, therefore, you are hereby

called upon/summoned to appear before the Competent Authority at

…………………..(place)either personally or through a person duly authorized in this behalf

for the purpose of answering all material questions relating to the application on the ….. day

of …………20….. at …………….'O' clock in the forenoon/afternoon in support of/to

answer the allegation; and as the day fixed for your appearance is appointed for final

disposal of the application, you must be prepared to produce on that day all the witnesses

upon whose evidence, and the documents upon which you intend to rely in support of your

allegation/defence.

Take notice that in default of your appearance on the day before-mentioned, the application

will be dismissed/heard and determined in your absence.

Whereas your attendance is required to give evidence/you are required to produce the

documents mentioned in this list below, on behalf of ……….. in the case arising out of the

claim for gratuity by………. Form………….. and referred to this Authority by an

application under section 56 of the Code on Social Security, 2020, you are hereby

summoned to appear personally before this Authority on the ……. day of

……..20…………….. at ………… ‘O’clock in the forenoon/afternoon and to bring with

you for to send to this Authority) the said documents.

List of documents-

1.

2.

3. so on

Given under my hand and seal, this …………..day of …………..20…..

Competent Authority

under the Code on Social Security Code, 2020

Note:

1. Strike out the words and paragraphs not applicable.

2. The portion not applicable to be deleted.

3. The summons shall be issued in duplicate. The duplicate is to be signed and returned by

the persons served before the date fixed.

4. In case the summons is issued only for producing a document and not to given evidence it

will be sufficient compliance to the summons if the documents are caused to be produced

before the competent authority on the day and hour fixed for the purpose.