The Uttar Pradesh Code on Social Security Rules, 2026
Form XXVII
Official text
Open in the official PDF (p. 161)
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{See sub-rule (3) of Rule 67 and sub-rule (4) of Rule 68}
Notice to parties for refusal to record memorandum of settlement
To,
1 (Name and address of the employer)
2 (Name and address of the employee)
Take notice that registration of the agreement to pay compensation said to have been reached between you
………….……. and ……………….. on the ……….. day of ………….. 20……… has been refused for the following
reasons:
1. ………………………………………………………………….
2. ………………………………………………………………….
3. ………………………………………………………………….
Date:
Competent Authority.
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