The Uttar Pradesh Code on Social Security Rules, 2026
Form X
Official text
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[See clause (i) of sub-rule (1) of rule 47]
Application for execution of Decree
Before The Employees' Insurance Court, at …………………….
A B (add description and address of applicant)
……………………………………........................
Against
C D (add description and address of opposite party/parties)
……………………................................................
Case number of 20……
Before this Court, the Decree Holder, hereby apply for execution of the decree herein below set forth-
Number Name(s) of Date of Decree Whether an Payment of
of proceedings Party/ Parties appeal preferred adjustment made,
from Decree if any
1 2 3 4 5
Previous Amount with Amount Against whom to Mode in which the assistance
application, if any with interest due upon of costs, if any be executed of the Court is required
date and result the Decree or awarded
other relief
granted thereby
together with
particulars of any
cross Decree
6 7 8 9 10
I pray that the total amount of Rupees............... (together with interest on the principal sum up to
date of payment) and the cost of taking out this execution be realized by attachment and sale of the opposite
party’s movable property as per annexed list and paid to me.
(when attachment and sale of immovable property sought) I pray that the total amount of Rupees …..........
(together with interest on the principal sum up to date of payment) and the cost of taking out this execution
be realized by attachment and sale of the opposite party’s immovable property specified at the foot of this
application and paid to me.
I,................... declare, that what is stated herein, is true to the best of my knowledge and belief.
Date:The ………… day of …….. 20……
(Signature)
Decree Holder