Form IX

(see rule 37)

Agreement for voluntary arbitration

BETWEEN

………………Name of the parties representing employer (s)

And

………………….Representing worker

It is hereby agreed between the parties to refer the following dispute to the arbitration of

.............[here specify the name(s) and address(es) of the arbitrator (s).

(i) Specific matters indispute.

(ii) Details of the parties to the dispute including the name and address of

the establishment or undertakinginvolved.

(iii) Name of the worker in case he himself is involved in the dispute or the

name of the union, if any, representing the worker or workers inquestion.

(iv) Total number of workers employed in the undertakingaffected.

(v) Estimated number of workers affected or likely to be affected by thedispute.

*We further agree that the majority decision of the arbitrators) shall be binding on us in

case the arbitrator(s) are equally divided in their opinion they shall appoint another person

as umpire whose award shall be binding onus.

The arbitrator (s) shall make his (their) award within a period of ........................ (here

specify the period agreed upon by the parties) from the date of publication of this

agreement in the Official Gazette by the State Government or within such further time as

is extended by mutual agreement between us in writing. In case, the award is not made

within the period afore mentioned, the reference to the arbitration shall stand

automatically cancelled and we shall be free to negotiate for fresharbitrator.

Signature of the parties Representing employer] Representing worker/ workers. Witnesses

1...................................

2...................................

Copy to: (i) The Conciliation Officer [here enter office address of the Conciliation

Officer for the area concerned]. .

(ii)The Secretary to the Government of Rajasthan, Labour Department.