The Industrial Dispute Act
1947 [CD1]
BEFORE THE HON'BLE PRESIDING OFFICER
LABOUR COURT OF AT ……………………….
Application No:______ of 20………
……………………………………………………………Applicant/Workman
Versus
……………………………………………………………..Respondent/Employer
Applications
under Section 33-C (2) of The Industrial Dispute Act 1947
Respectfully Sheweth:
1.
That the applicant/workman
was engaged by the respondent
as a
________
2.
That as per ________ agreement
with the applicant the respondent has promised to pay him _________
3.
That as per the agreement and
the prevailing rates of daily wages agreed were Rs. ________. As such
Rs. ________ is still outstanding against
the respondent. This fact is corroborated from the Annexure A-
4.
That the applicant worked with
the respondent till _______. Since then he has been making many visits to the
respondent for balance payment but without any fruitful results. On
____________, the applicant made representation/_________________________.
5.
That the respondent has not
paid a balance earned wages to the applicant till date despite the fact that
the ______________________.
6.
That non-payment of legitimately
earned salary/earned wages and balance thereof to the applicant is arbitrary,
illegal, malafide, discriminatory and in utter violation of constitutional
rights of the applicant.
7.
That total amount of money due
towards the respondent/employer upto the month of filing of this application
before this Hon'ble Court workout to Rs. ________ _____excluding/including
interest @ …… upto the month of filing of this application. Statement of
account is annexed as Annexure A-________.
8.
That due to such an arbitrary,
illegal, unjust and malafide action, rather inaction on the part of the
respondent the applicant/workman has suffered immeasurable mental agonies,
financial hardship and physical harassment, which deserves to be compensated in
terms of money.
9.
That the respondents also
deserves to be saddled with heavy and extra-ordinary costs for resorting to
unfair labour practice.
10. That the applicant craves leave of this Hon'ble Court to engage
counsel as it is not possible for the applicant to personally attend to the
case and the applicant further craves leave of this Hon'ble Court to produce
such other further evidence as may be required in due course.
11. That the applicant, therefore, most humbly prays that an appropriate
order or direction be issued for the following reliefs :-
(a) Direct the
respondents to pay a balance wages the applicant amounting to Rs. ________/-
till date of filing of this application with interest @ ………… p.a. till the date
of realisation; (b) Direct the
respondent to produce all the records relevant to the case;
(c)
Burden the respondents with
heavy costs and award compensation to the tune of Rs. …………………- to the applicant
for mental agonies, physical harassment and financial hardship;
(d)
Allow the cost of this
application;
(e)
Pass such other orders, directions
and grant such other relief in favour of the applicant as deemed fit and proper
in the facts and circumstances of the case by this Hon'ble Court.
AND FOR THIS ACT OF KINDNESS, THE HUMBLE
APPLICANT AS IN DUTY BOUND, SHALL EVER PRAY.
…………………………………
……………………….……….Applicant/Workman
__________________
Through, Advocates
AUTH. REP OF WORKMAN
VERIFICATION:
Verified that the
contents of paras 1 to ________ are true and correct to the personal knowledge
and belief of the applicant.
Verified
at ……………………………. on ______.
Applicant
Annexure A-__
Details of money due but not paid by the
Employer
1. Total Amount due : Rs. __
2. Amount paid : Rs. __
3. Amount Balance : Rs. __
4. Int @ 18% wef __ upto the : Rs. __ month of filing of this
application
5. Total bal due towards respdt : Rs. __
FORM-F
(See
Rule 36)
Before the Hon'ble Labour Court of Tamil
Nadu at Coimbatore
Reference No.:______ of 2008
Workmen
Versus
Employer
In
the matter of __________________ above_________________ I/We hereby authorize
______ to represent me/us in the above matter.
Dated this ______ .
Signature of persons nominating the
representative
Address: as per memo of parties.
Accepted
Signature of Representative
Address:
_______________
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