Form I

(See Rule 3)

(Memorandum of settlement arrived at during conciliation/ or settlement arrived at between

the employer and his workers otherwise than in the course of conciliation proceeding)

Names of Parties:

…………………………………… Representing employer(s)/authorized Agent;

…………………………………… Office Bearers of Trade Union;

Short recital of the case

………………………………………………………..

Terms of settlement

……………………………………………………….

Signature of the parties

Witnesss:

(1)

(2)

*Signature of Conciliation Officer

In case the settlement arrived at between the employer and his workers otherwise than in the

course of conciliation proceeding the copy of the memorandum shall be marked to the

Secretary (Labour) UT of Lakshadweep Administration.

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