The Code on Social Security (Mizoram) Rules, 2026
Form II
Official text
Open in the official PDF (p. 29)
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[SEE RULE 6 (2)]
In the Employees, Insurance Court at
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Applicant
(add description and residence)
Against
……………………………………………………………….…………………………......................…………
...
Opposite Party (add description and residence) Other Particulars of Application specified in rule 6(2)
…………………………………………………………………………………………….……....……………
…………………………….........................................................................................................................................
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Signature of Applicant
Date ……………….
(Verification by the applicant)
The statement of facts contained in this application is to the best of my knowledge and belief, true and
correct.
Date ………….…
Signature