Form XV

[See Rule 48, 49, 51 and 53]

[Application for permission of Lay-off/ Continuation of Lay-off/ Retrenchment/ Closure

to be given by an employer / Industrial establishment /Undertaking to the UT of

Lakshadweep Administration under the provisions of Chapter X of the Industrial

Relations Code, 2020 and rules made there under]

(To be submitted online. In case of exigencies on paper in the prescribed format below) Name

of Industrial Establishment or Undertaking or Employer.....................................

Labour Identification Number.........................................................................................

Dated.................

(Note: The application to the UT of Lakshadweep Administration shall be served as indicated

below: Lay-off : at least 15 days before the intended Lay-off Continuation of Lay-off – at

least 15 days before the expiry of earlier Lay-off Retrenchment – at least 60 days before the

intended date of Retrenchment Closure – at least 90 days before the intended date of Closure)

To,

The Secretary (Labour)

UT of Lakshadweep

Kavaratti

1. *(Lay-off) (a). Under section 78(2) of the Industrial Relations Code, 2020, I*/we*

hereby apply for

―permission to lay-off ………. workers** out of total of ……. workers** employed in

my*/our*establishment (details to be given in Annex-I) with effect from (DD/MM/YYYY).

or

*(Continuation of lay-off) (b) Under section 78(3) of the Industrial Relations Code, 2020,

I*/we* hereby apply for permission to continue the Lay-off .........workers** out of total

oflaid off workers** in my*/our*establishment (details to be given in Annex-I) with effect

from (DD/MM/YYYY).

or

*(Retrenchment) (c) Under section 79(2) of the Industrial Relations Code, 2020, I*/we*

hereby apply for permission for intended retrenchment of................. workers out of total of

…….. workers** employed in my*/our* establishment (details to be given in Annex-I) with

effect from (DD/MM/YYYY).

or

*(Closure) (d) Under section 80(1) of the Industrial Relations Code, 2020, I / we* hereby

inform you that I*/we* intended to close down the undertaking........................................

(name of the industrial establishment or undertaking or employer) (details to be given in

Annex-1) with effect from............. (DD/MM/YYYY). The number of workers whose services

would be terminated on account of the closure of the undertaking is (number of

workers)

2. * (Lay-off/Continuation of Lay-off) The worker(s) concerned were given on

(DD/MM/YYYY)notice in writing as required under section 78(2)*/ section 78(3)* of

this Code.

or

*(Retrenchment/ Closure) The worker(s) concerned were given on……... (DD/MM/YYYY)

one month‘snotice in writing as required under section 79*/ section 80* of this Code.

or

*(Retrenchment/ Closure) The worker(s) have been given on (DD/MM/YYYY) one

month‘s pay in lieuof notice as required under section 79*/ section 80* of this Code.

3. The details of affected worker(s) is at Annexure II.

4. (Retrenchment) I*/we* hereby declare that the workers concerned will be retrenched

in compliance to the Section 71 and section 72 of this Code.

5. *I/We* hereby declare that the worker(s) concerned have been*/will be* paid all the

dues and compensation due to them under section 67, read with section 78(10)*/ section 79* /

section 80* of this Code before or on the expiry of the notice period.

or

*I/We hereby state that currently Insolvency proceedings are on in respect of the said

Industrial Establishment/Undertaking/Employer, and that I*/we* will pay all the dues along

with the compensation due to them under concerned laws.

6. I/ we* hereby declare that no court case is pending before any Court in the matter, and

if yes, the details thereof have been Annexed.

7. I/ we hereby declare that the above information given by me/ us* in this notice and

enclosures is/ are* true, I/ we am/ are solely responsible for its accuracy and no facts/

materials has been suppressed in the matter.

The permission sought for may please be granted.

Yours faithfully,

(Name of Employer/ ***Authorised Representativewith Seal)

(* Strike off which is not applicable.)

(** Indicate number in figures and word both)

(***Copy of Authorization letter issued by the employer shall be enclosed)