Form XVII

(See Rules 43, 45 and 61)

(Notice of Intimation of Retrenchment/ Closure to be given by an employer to the

State Government under the provisions of Chapter IX 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 /Undertaking/ Employer.........................................................

Labour Identification Number/ Registration Number ............................ Dated .......................

(Note: The intimation for Closure/Retrenchment to the appropriate government shall be served 60 days and

30 days before commencement of Closure/Retrenchment respectively)

To,

The Labour Commissioner LESDE Department, Mizoram

1. *(Retrenchment) (a) Under Section 70(C) of this Code, I/ we* hereby intimate

you that I*/we* have decided to retrench ............................... workers** out of a total of

..............

Workers** with effect from .................................................... (DD/MM/YYYY)

or

*(Closure) (b) Under Section 74(1) of this Code, I/we* hereby intimate you that I*/we* have

decided to close down, ...............................................................(name of the industrial establishment or

undertaking) 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. The reason for Retrenchment / Closure is…………………………………………..……….............

3. * The worker(s)* concerned were given on the ...................................................... (DD/MM/YYYY) one

month’s notice in writing as required under section 70(a)*/ section 75(1)* of this Code.

or

* The worker(s) concerned have been given on the ...............................................(DD/MM/YYYY) one

month’s pay in lieu of the notice as required under section 70(a)*/ section 75(1)* of this Code.

4. * l*/We* hereby declare that the worker(s) concerned have been*/will be* paid all their dues along

with the compensation due to them under section 70* / section 75* 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.

5. (Retrenchment) I/we* hereby declare that the worker(s) concerned have been* / will be* retrenched in

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

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 the

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

been suppressed in the matter.

Yours faithfully,

(Name of Employer/ ***Authorized Representative with Seal)

(* Strike off which is not applicable.)

(** Indicate number in figures and words both)

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

Copy to:

(1) To the Office of DG Labour Bureau, Ministry of Labour and Employment, (Only for statistical purpose.)

(2) Labour Commissioner of the concerned area.

(3) To the Registered Unions/ Authorised Representatives of Workers operating in the establishments

or undertakings.