An employed person, or any employer or his representative, or any person permitted under sub-section (2) of Sec.
i tion 15 to apply for a direction, shall be entitled to inspect any apphc_ation, memorandum of appeal or any other document filed with the Authority or the Court, as the case may be, in a case to which he is a party, and may obtain copies thereof on payment of such fees as may be prescribed.
il FORM A Form of Individual Application il [See sub-section (2) of Section, 1 of the Payment of Wages Act] In the Court of the Authority appointed under the Payment of Wages | Act (IV of 1936) for area, }] Application No. of 19 ” Between Applicant.
a legal practitioner ! (Through——— i an official of which is a registered trade union). | 'x'g And Opposite party.
| ‘} The applicant states as follows :
| 1. is a person employed in factory —the—. ————entitled on Industrial Establishment and resides at R the opposite-party, is the person responsible for the payment of his wages under Section 3 of the Act, and his address for the ceservi of all notices and processes is (¥ scanned with OKEN Scanner | ORMS U.P. PAYMENT OF W. $ PROCEDLU E. Rk T ] ME OF WAGLS PROCEDURE RULES, 1938 1851 s, 1Y X (1).The applicant’s wages h: .
eriod(s) (give dates) ’ AVEOI:O; l{:\:‘no?;{(’i for il 8 vl;age 3 has been \fmlawfully dfeducted from his wages of periOd(s) ‘which ended on [give date(s)] (amount) for wage* @ (Here give any further claim or explanation) 4, The applicant estimates the value of relief sought by him at the sum of Rupees _ The applicant pra: s th irecti i 2 K Secgon i fif“-_y at a direction may be issued under sub-sec-
(a) Payment of his delayed wa i Pyt as the atbority Iizsyaa ne;tltr:?)t:% ‘?: such greater or lesser or refund of the amount illegally deducted.
1
(b) Comp'epsation amounting to The applicant certifies that the statement of facts contained in thi i best of his knowledge and el accursai:.n ained in this application is to the Signature or thun_fl'n-impr ession of the employed person, or legal practitioner, or official of 2 registered trade union duly authorised.
FORM B Form of Group Application .
(2) of Section 15 and Section 16 of the I Payment of Wages Act] “ Authority appointed under the Payment of Wages tion [See sub-section In the Court of the Act (IV of 1936) for area.
Application No.
of 19 Between and (state the number) others APplicant.
a legal practitioner (Through — which isa registered trade union)- opposite party- And The applicants st
1. The applicants whose nam in ate as follows es ap) factory entitled persons employed—-th - Industrial Est ablishment.
r service of all notices and processes pear in the attached Schedule are . The address of the applicants fo is ..the opposite party, is the person responsible < n 3 of the Act, and his address for the \ 1852 U. P. PAYMENT OF WAGES (PROCEDURE) RULES, 1958 T Forag
3. The applicants’ wages have not been paid for the following wage. period(s) :
4. The applicants estimate the value of the relief sought by them at the sum of Rupees
5. The applicants pray that a direction may be issued under sub-section (3) of Section 15 for— icants’ < timated or such a) payment of the applicants’ delayed wages as e @ greyater or lesser amount as the Authority may find to be due
(6) Compensation amounting to The applicants certify that the statement of facts contained in this appli.
cation is to the best of their knowledge and belief accurate.
Signature or thumb-impression .o_f two of the applicants, or legal practitioner, or an official of a registered Trade Union duly authorised. ’
SCHEDULE Names of applicants—
1.
2.
3.
4.
5.
FORM C Form of Application b Yy an Inspector or person permitted by the Authority or Authorised to Act [See sub-section (2) of Section 15 and Section 16 of the Payment of Wages Act] In the Court of Authority appointed under the Payment of Wages Act, (IV of 136) for area.
Application No. of 19 Between (designation) an Inspector under the Payment of permitted by the Authority Wages Act ora person————_____ o act authorised under sub-section (2) of Section 5 And Applicant.
the opposite party, The applicant states as follows :
1, the opposite-party is the person responsible under the Act for the payment of wages to the No. of person(s).
v 1853 pous] | U PAYMENT OF WAGES PROCEDURE KULES. 19568
9. His address for the services of all notices and processes is The wages of the said person(s) due in respect of the following wage-
5. have not been paid od(s) - per have been subjected to the following illegal deduction.
4, Theapplicant estimates the value of the relief sought for tne person(s) employed at the sum of Rs.
5. The agplicant prays that a direction may be issue:
ton (3) of Section 15 for—
(6) payment of the delayed wages as estimated or such greater or lesser amount as the Authority may find to be duefor refund of the amount illegally deducted, () compensation amounting to.
cant certifies that the statement of facts contained in this applid under sub-scc- The appli f cation is to the best of his knowledge and belief accurate.
Signature.
FORM D Certificate of Authorization 1/We employed person(s) hereby authorize 2 legal practitioner/an official of which is a registered Trade Union to act on ‘my/our behalf under Section 15 and Section 17 of the Payment of Wages Act (IV of 1936), in respect of the claim against delay in payment of — —my/our wages for on account of the———————— illegal deductions from Witnesses Signature M O] @ @ 3 (©) @ ) (OF ©®) T accept the authorization.
Signature “Legal Practitioner Official of a registered Trade Union.
FORM E Notice for the Disposal of Application To Whereas under the Payment of Wages Act, 1936 (IV of 1936), a claim against you has been presented to me in the application of which a cepy is enclosed, you are hereby called upon to appear before me either in person or — (¥ scanned with OKEN Scanner 1854 U. P. PAYMENT OF WAGES (PROCEDURE) RULES, 1958 [Forus nswer all material questiong ly instructed, and able to a .
E‘Yl:i]zgpt:)nll;\‘; i:glicntion, or’who shall be ac:omp;:;e:fby some persollb able :S answer il suc}::'%;Joecs}l:ui’:st,hznr:r‘:/aI'temoon to anslwerfitllt':l c’;im' a;,d ?s the i ointed for the final disposal of the day fixed for your appearance 1S app o on that day all the witnessr icati : du application, you must be s which you intend to rely i, upon whose evidence, and the document upon support of your defence.
i X the day before men.
lice that in default of your appearance ont : f done.tli-fll(lexen:pl;fica(iun will be heard and determined in your absence.
Given under my hand and seal, this day of 19 Authority, FORM F Record of Order or Direction
(1) Serial number
(2) Date of the application .
(3) Name or names, parentage, address or addresses of the applicants or some, or all of the applicants belonging to the sanie unpaid group
(4) Name and address of the employer
(5) Amount claimed
(a) As delayed wages Rs.
(b) As deducted from wages Rs.
(6) Place of the employer and his examination (if any)
(7) Finding, and a brief statement of the reasons therefor
(8) Amounts awarded—
(a) Delayed wages Rs.
(6) Deducted wages Rs.
(9) Compensation awarded Rs.
(10) Penalty imposed Rs,
(11) Costs awarded to—
(1) Court fee charges
(if) Pleader’s fee (7it) Witnessey expeases Signed Dated (¥ scanned with OKEN Scanner (g U.P. PAYMENT OF WAGILS (PROCLDURE) ApPLICANLE TO 1855 ‘ForM8 F j SCHEDULED EMPLOYMENIS ruLks. 1963 Note.—In cases where an appeal lies attach on a separate sheet the substance of the evidence.
FORM G Notice to Respondent of the Day Fixed for the Hearing of the Appeal under Section 17 of Payment of Wages Act, 1936 Appeal from the decision of the Authority for the area, dated the : day of 19 To Respondent.
Take notice that an appeal of which a copy is enclosed, from the decision of the Authority for area has been presented by (and others) and registered in this Court and that and day of 19 | has been fixed by this Court for the hearing of this appeal, If no appearance is made on your behalf by yourself, or by some one by law authorized to act for you in this appeal, it will be heard and decided in your absence.
Given under my hand and the seal of the Court, this day of 19 Judge.
Seal of tfle Court.
(¥ Scanned with OKEN Scanner