Form II

Made under The Code on Social Security, 2020Notification No. 1431/XXXVI-3-2026-1399661, 27 Aug 2026

Official text

Open in the official PDF (p. 138)

Tables and forms lose their layout when extracted; the PDF is the authoritative version.

[ See clause(iv) of sub-rule(2) of rule45 ]

List of documents produced before Employee’s Insurance Court

Before the Employees' Insurance Court, at……………………........... AB (add

description and address of applicant)

.................................................................................................................................

Against

CD(add description and address of opposite party/parties)

.................................................................................................................................

List of documents produced by Applicant/Opposite party :

1. Name and other particulars of party presenting document: ………….

2. Description:…………………

3. Subject:……………………..

S.no. Description of the document The date which the document bears

1 2 3

Signature of the party

or pleader or

any Authorized represe

ntative

Source: The Uttar Pradesh Code on Social Security Rules, 2026, Notification No. 1431/XXXVI-3-2026-1399661 — Uttar Pradesh Gazette Extraordinary, 27 August 2026, p. 138 of the PDF. Open our copy at p. 138 · official download · all sources

The rules were made in Hindi. The English text is the translation published by order of the Governor under clause (3) of Article 348 of the Constitution, which makes it the authoritative text in English. Rule headings are printed as marginal notes.