The Uttar Pradesh Code on Wages Rules, 2026
Form VI
Official text
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[See Sub-rule (4) of Rule 44]
RECORD OF ORDER OF DIRECTION
1. Serial number............................
2. Date of the application.......................
3. Name or names, parentage, address or addressed of the applicant, or some, or all of the applicants
belonging to the same unpaid group:
4. Name and address of the employer:
5. Amount claimed:
(a) as difference of wages payable under this Code and actually paid: Rs ……….
(b) as payment of remuneration of days of rest: Rs ……..
(c) as payment of wages of overtime rates: Rs ……….
(d) as payment of delayed wages: Rs. ...............
(e) as payment of deductions made in contravention to the Code: Rs ……..
(f) as non-paid bonus: Rs …….
(g) compensation amounting as: Rs ……….
6. Plea of the employer and his examination (if any):
7. Finding, and a brief statement of the reasons therefore:
8. Amounts awarded:
(a) as difference of wages payable under this Code and actually paid: Rs ……….
(b) as payment of remuneration of days of rest: Rs ……..
(c) as payment of wages of overtime rates: Rs ……….
(d) as payment of delayed wages: Rs. ...............
(e) as payment of deductions made in contravention to the Code: Rs ……..
(f) as non-paid bonus: Rs …….
9. Compensation awarded....................
10. Costs awarded to:
(a) Court-fee Charges................
(b) Pleader‘ s fee........................
(c) Witnesses‘ expenses...............
11. Date by which the amounts awarded shall be paid.
Dated:
Authority
NOTE:- In case where an appeal lies, attach on a separate sheet the substance of the evidence.