Form IV

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 (p. 31)

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

(see rule 20, rule 39 and rule 40)

(AUTHORIZATION BY A WORKER, GROUP OF WORKER, EMPLOYER, GROUP

OF EMPLOYER TO BE REPRESENTED IN A PROCEEDING BEFORE THE

AUTHORITY UNDER THIS CODE).

Before the Authority

(Here mention the authority concerned)

In the matter of: (mention the name of the proceeding)

.............................................workers

Versus Employer

I/we hereby authorize Shri /Sarvashri (if representatives are more than one)

1.........2............3 to represent me/us in the above matter.

Dated this......................day of..............................20..........

Signature of person(s) nominating the representative(s)

Address Accepted

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), p. 31 of the PDF. Open our copy at p. 31 · 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.