Form XIX

(see rule 56)

Notice to the Employer who committed an offence for the first time under this code,

for compounding of offence under sub-section (4) of section 89

The undersigned and the Compounding Officer under sub-section 1 of section 89 of the

Industrial Relations Code, 2020 hereby intimates that the allegation has been made

against you for committing offence for the violation of various provision of this Code as

per the details given below;-

PART-I

1 Name and Address of theoffenderEmployer-………………………………..

2 Address of the Establishment…………………..…………………………….

3 Particulars of the offence..……………………………………………………

4 Section of the Code under which the offence iscommitted …………………

5 Compounding amount required to be paid towards composition ofthe offence

………………………..………

PART-II

You are advised to deposit the above mentioned amount within fifteen days from the date

of issue of this notice for compounding the offence as per section 89 (1) of the Industrial

Relations Code, 2020, alongwith an application dully filled in part – III of this notice.

In case you fail to deposit the said amount within the specified time, no further

opportunity shall be given and necessary direction for filing of prosecution under section

shall be issued.

(Signature of the Compounding Officer)

Date : Place:

PART-III

Application under sub-section (4) of section 89 for compounding of offence

1. Name of applicant (name of the employer who committed the offence under the

Industrial Relations Code 2020 to be

mentioned………………………………………………………………………

2. Address of the applicant ...…………….……………………………………….

3. Particulars of the offence………………………………………………………….……....

4. Section of the Code under which the offence has beencommitted

………………………………………………………………………………….

5. Details of the compounding amount deposited (electronically generated receipt tobe

attached)…………………………………………………………………..

6. Details of the prosecution, if filed for the violation of above mentioned offences may begiven

…...………………………………………………………………..

7. Whether the offence is first offence or the applicant had committed any other offence prior to

this offence, if committed, then, full details of theoffence

…………………………………………………………………………………………………

………………………………………………………………………

8. Any other information which the applicant desires toprovide

…………………………………………………………………………………………………

………………………………………………………………………

Dated: Applicant

Place: (Name and signature)