Form XIX

Made under The Code on Social Security, 2020No. B.14015/6/2019-LESDE, 29 Jul 2026

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[(SEE RULE 17(2)]

Whereas an agreement to pay compensation is said to have been reached between ...................

and ...................... and whereas has/have applied for registration of the agreement under section 89 of the

Code of Social Security, 2020 notice is hereby given that said agreement will be taken into consideration

on ....................... 20 ................ and that any objections to the registration of the said agreement should be

made on that date. In the absence of valid objections, it is my intention to proceed to the registration of the

agreement.

Dated ......................20 .......

Competent Authority

Source: The Code on Social Security (Mizoram) Rules, 2026, No. B.14015/6/2019-LESDE — Mizoram Gazette Extraordinary, Vol. LV, Issue No. 639, 30 July 2026, p. 54 of the PDF. Open our copy at p. 54 · official download · all sources