Form III

(See rule - 10) (Form of Affidavit)

I, _________________________________S/O Sh. ______________________________Age ________yrs.

R/o _____________________________________do hereby solemnly affirm and declare as under:-

1. That I am the elected /designated ..................................(post) of ____________(Name of Trade Union)

with its Head Office situated at _____________________(Address of Trade Union).

2. That to the best of my knowledge and belief no Union / Association by the name of “_____________

Union (Name of Union)” is registered in Mizoram or anywhere in India.

3. That in case of any legitimate claimant of union’s name, we will surrender the certificate and change

name of the union as per directions of the Registrar Trade Unions, Mizoram.

4. That no member or office bearer has ever been convicted by Courts of India for any offence involving

moral turpitude and sentenced to imprisonment.

5. That all particulars supplied as per Forms and Schedules as well as other documents are true.

6. That the scope of the Union shall be for the employees of __________________________(Name

of Establishment)

7. That there are ___________________employees are working in ______________________(Name of

Establishment) and out of which ___________________employees are members of our union.

8. That I shall furnish such other documents and/or information as required by the Registrar for the

purpose of this application.

9. That this is my true statement and it conceals nothing and that no part of it is false.

10. That the authority shall be at liberty to take appropriate action against me if any information/ document

furnished is found to be false, frivolous or incorrect.

11. That the list of Trade Union Member along with attested Aadhar Number for verification is appended

with the affidavit and no member has been compelled or force to share the Aadhar.

DEPONENT

Verification: -

Verified at_____________________(Place) on______________________(Date) that the contents of the

above affidavit are true and correct to the best of my knowledge and belief.

Deponent.