The Uttar Pradesh Code on Social Security Rules, 2026
Form III
Official text
Open in the official PDF (p. 139)
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[ See sub-rule (3) of rule 45 ]
Register of proceedings
Employees' Insurance Court, at …………………….
Register of proceedings in the year 20……..
Date of presentation of No. of Name of the applicant Address Application description
application proceedings
1 2 3 4 5
Name Details Address Particulars Value of claim When the cause of
of opposite party of opposite party amount, if any action arise
6 7 8 9 10 11
Day for the parties Appearance Opposite Date Finalorderfor whom For what
to appear applicant party of amount
12 13 14 15 16 17
Appeal Execution Other remarks, if
any
Date Judgement Date of Against For what Amount Date of order
of description of appeal application whom of amount of cost transferring to
of appeal, if any of money another
Civil Court
at……..
18 19 20 21 22 23 24 25