Industrial Disputes (Central) Rules, 1957
FORM Application for the Reference of an Industrial Dispute to a Board of Conciliation / Court of Inquiry / Labour Court / Tribunal / National Tribunal
WHEREAS an industrial dispute is apprehended / exists between ______________________ and _________________________ and it is expedient that the dispute / investigation and settle the matters specified in the enclosed statement which are connected with or relevant to the dispute should be referred for enquiry / adjudicating by a Board of Conciliation / Court of Inquiry / Labor Court / Tribunal / National Tribunal, an application is hereby made under sub-section (2) of section 10 of the Industrial Disputes Act, 1947, that the said matters / said dispute should be referred to a Board of Conciliation / Court of Inquiry / Labor Court / Tribunal / National Tribunal.
This application is made by the undersigned who has / have been duly authorized to do so by virtue of a resolution (copy enclosed) adopted by a majority of the members present at a meeting of the _________________ held on the _________________________ 19 _______ _ .
A statement giving the particulars required under rule 3 of the Industrial Disputes (Central) Rules, 1957 is attached herewith.
Dated Employer / agent / manager / principal
officer of the corporation _____________________
President of the trade union
Secretary of the trade union ___________________
Five authorized representatives_______
Workman in the same establishment
The Secretary to the Government of India ,
Ministry of Labor
Statement required under rule 3 of the Industrial Disputes (Central) Rules, 1957, to accompany the form of application prescribed under sub-section (2) section 10 of the Industrial Disputes Act, 1947:-
(a) Parties to the dispute including the name and address of the establishment or undertaking involved;
(b) Specific matters in dispute;
(c) Total number of workmen employed in the undertaking affected;
(d) Estimated number of workmen affected or likely to be affected by the dispute;
(e) Efforts made by the parties themselves to adjust the dispute.
Copy to :
( i ) The Assistant Labor Commissioner (Central) _________________ (here enter office address of the Asstt . Labor Commissioner (Central) in the local area concerned.
ii ) The Regional Labor Commissioner (Central)]
(iii) The Chief Labor Commissioner (Central).