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Wednesday, 01 September 2010 05:30

Download Application form for Claims of Payment of Wages less than the Minimum Rates of Wages

Download forms for state: Andaman and Nicobar Island
Form Details
StateAndaman and Nicobar Island
DepartmentDepartment of labour
TitleApplication form for Claims of Payment of Wages less than the Minimum Rates of Wages
Document Size13.0 KB
Text of the PDF document(for quick reference)
FORM VI (Rule 32) Form of Application by an Employee under Section 20 (2) In the Court of the Authority appointed under the Minimum Wages Act, 1948 for area Application No. 19 (1) Applicant [ through a Legal Practitioner/official of Union which is a registered Trade Union) Address (1) Versus (2) Opponent(s) (3) Address The applicant above named states as follows:- (1) The applicant was/ has been employed from to as [category] in [Establishment] of Shri./ Messers engaged in [nature of work] which is scheduled employment within the meaning of section 2 (g) of the Minimum Wages Act, [2] The opponent [s] is/are the employer(s) within the meaning of section 2 [e] the Minimum Wages Act. [3] [a] The applicant has been paid wages at less than the minimum rate of wages fixed for his category of employment under the Act by Rs.-------- per day for the period from to [b] The applicant has not been paid wages at Rs.....per day for weekly days of rest from to [c] The applicant has not been paid wages at the overtime rate for the period from (4) The applicant estimates the value of relief sought by him each account as under :- (a) Rs. (b) Rs. (c) Rs. Total Rs. (5) The applicant, therefore, prays that a direction may be issued under section 20 [3] of the Act for: (a) Payment of the difference between the wages payable under the minimum wages Act & the Wages actually paid. [b] Payment of remuneration for the days of rest. [c] Payment of Wages Act the overtime rate. (6) The application begs leave to amend or and to or make alternations in the application if and when necessary, with the permission of the Authority. [7] The applicant does solemnly declare that the facts stated in this application are true to be best of his knowledge, belief and information. Dated Signature of thumb impression of the employed person or legal practioner. or official or a registered Trade Union duly authorized.
Last Updated on Friday, 17 December 2010 05:30

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