The Uttar Pradesh Code on Social Security Rules, 2026
Form XXIX
Official text
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{See sub-rule (2) of Rule 68}
Show-cause 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)
Whereas, an agreement to pay compensation is said to have been reached between ……………………….. and
……………………….. and whereas................................ has/ have applied for registration of the said agreement under
sub-section (1) of section 89 of the Code and whereas it appears to me, that the said agreement ought not to be
registered for the following reasons, namely-
1. ………………………………………………………………….
2. ………………………………………………………………….
3. ………………………………………………………………….
an opportunity will be afforded to the said for showing cause on ……………… day of ……………..
20............. why the said agreement should be registered. Any representation which you have to make with regard to
the said agreement, should be made on that date.If adequate cause is shown, the agreement may be registered.
Date:
Competent Authority.
Seal