Form VI

Made under The Code on Wages, 2019Notification No. 95, 30 Jun 2026

Official text

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

[See rule 45]

APPLICATION UNDER SUB-SECTION (1) OF SECTION 56 FOR COMPOSITION

OF OFFENCE

1. Name of applicant :

2. Father’s / Spouse name :

3. Address of the applicant :

4. Particulars of the offence: …..

..…………………………………………………………………………

…………………………………………………………………………………………………

……………

5. Section of the Code under which the offence is committed :

:………………………………………………

6. Maximum fine provided for the offence under the Code

:…………………………………………………

7. Whether prosecution against the applicant is pending or not

………………………………………………

8. Whether the offence is first offence or the applicant had committed any other offence

prior to the offence.

If yes, then, full details of the prioroffence.

…………………………………………………………………………………………………

……………

…………………………………………………………………………………………………

……………

……………………………………………………………………………………………..

9. Any other information which the applicant desires to provide

…………………………………………………………………………………………………

……………

…………………………………………………………………………………………………

……………

……………………………………………………………………………………………..

Dated:

Applicant

(Name and signature)

Source: The Code on Wages (Bihar) Rules, 2026, Notification No. 95 — Bihar Gazette Extraordinary No. 696, 1 July 2026, p. 44 of the PDF. Open our copy at p. 44 · official download · all sources