Form III

Made under The Industrial Relations Code, 2020No. KHR-2021-129-IDA-122020-539471-M(2), 5 Oct 2021

Official text

Open in the official PDF (pp. 30–31)

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

(see rule 18)

(AGREEMENT FOR VOLUNTARY ARBITRATION)

BETWEEN

………………Name of the parties representing employer (s)

And

………………….Representing worker

It is hereby agreed between the parties to refer the following dispute to the arbitration of

........................ [here specify the name(s) and address(es) of the arbitrator (s).

(i.) Specific matters in dispute.

(ii.) Details of the parties to the dispute including the name and address of the establishment or

undertaking involved.

(iii.) Name of the worker in case he himself is involved in the dispute or the name of the union, if any,

representing the worker or workers in question.

(iv.) Total number of workers employed in the undertaking affected.

(v.) Estimated number of workers affected or likely to be affected by the dispute.

*We further agree that the majority decision of the arbitrators) shall be binding on us in case

the arbitrator(s) are equally divided in their opinion they shall appoint another person as

umpire whose award shall be binding on us.

The arbitrator(s) shall make his(their)award with in a period of (here specify the Period

agreed upon by the parties) from the date of publication of this agreement in the Official

Gazette by the State Government or within such further time as is extended by mutual

agreement between us in writing. In case, the award is not made within the period afore

mentioned, the reference to the arbitration shall stand automatically cancelled and we shall be

free to negotiate for fresh arbitrator.

Signature of the parties Representing employer] Representing worker/ workers.

Witnesses

1................................... 2...................................

Copy to:

(i) The Conciliation Officer [here enter office address of the Conciliation Officer for the area

concerned].

(ii) The Secretary to the State Government, Labour and Employment Department.

Source: The Industrial Relations (Gujarat) Rules, 2021, No. KHR-2021-129-IDA-122020-539471-M(2) — Gujarat Government Gazette Extraordinary, Part I-L, 5 October 2021 (as sent for publication), pp. 30–31 of the PDF. Open our copy at p. 30 · official download · all sources

Text from the Labour and Employment Department's copy of the notification, as sent to the Government Central Press for publication in the Gujarat Government Gazette Extraordinary, Part I-L, of 5 October 2021. Its last page (the end of the last Form, and the signature) is a scanned image, so it is not reproduced here; read it in the official PDF.