The Uttar Pradesh Code on Wages Rules, 2026
Form VII
Official text
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[See Sub-rule (1) of Rule 45]
APPEAL UNDER SECTION 49(1) OF THE CODE ON WAGES, 2019
Before the Appellate Authority under the Code on Wages, 2019
A.B.C
Address………………………………………………………………………………Appellant.
Vs
X.Y.Z.
Address……………………………………………………………………………….Respondent.
DETAILS Of APPEAL:
1. Particulars of the order against which the appeal is made:
Number and Date:
The authority who has passed the impugned order:
Amount awarded:
Compensation awarded, if any:
2. Facts of the case:
(give here a concise statement of facts in a chronological order, each paragraph containing as
nearly as possible a separate issue or fact)
3. Grounds for Appeal:
4. Matters not previously filed or pending with any other Court or any appellate Authority:
The appellant further declares that he had neither previously filed any appeal, writ petition nor suit
regarding the matter in respect of which this appeal has made, before any Court or any other
Authority or Appellate Authority nor any such appeal, writ petition or suit is pending before any of
them.
5. Reliefs sought:
In view of the facts mentioned above the appellant prays for the following relief(s):-
[Specify below the relief(s) sought]
6. List of enclosures
1.
2.
3.
4.
………
Date:
Place:
Name and Signature of the applicant
Mobile. number and email id: …………………………….
For office use
Date of filing
Or
Date of receipt by post
Registration No.
Authorized Signatory