Industrial Dispute Claim Application

FORM K-3
[See Rule __ (_)]

APPLICATION UNDER SECTION _____ OF THE INDUSTRIAL DISPUTES ACT, _____

__________   VERSUS  __________ 

Subject: APPLICATION UNDER SECTION _____ OF THE INDUSTRIAL DISPUTES ACT, _____

Sir, 

 The applicant/claimant worked with the respondents and he/she is entitled to receive from the respondent of _________/- mentioned in the statement hereto annexed. 
 It is, therefore, prayed that the hon’ble court may kindly be pleased to determine the amount due to the applicant/claimant.
Dated:__________                                                                               CLAIMANT 
Through A.R. 
__________

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