Claim under clause (b) of sub-section (1) of Section 7 of the Equal Remuneration Act, 1976 (25 of 1976). To The Authority appointed under sub-section (1) of Section 7
______________________ Address. A_______________________ Petitioner(s) Full Address.
Versus B________________________ Opposite Party Full Address. The petitioner(s) above named states/state as follows:- (1) The petitioner(s) was/were/is/are employed from____________________ to______________ as_______________ employed (Category) in _________________________ (Name of establishment) of__________________________ Shri/Messrs_________________________________ (Name of the employer and address).
(2) The opposite party is the employer within the meaning of clause (c) of Section 2 of the Equal Remuneration Act, 1976 (25 of 1976). (3) The petitioner(s) was/were/has/have not been paid wages at rates equal to those of workers of the opposite sex for the same work or work of a similar nature for the period from _________________ to _______________. (4) The petitioner(s) was/were/has/have not been paid wages at the rate of ____________ whereas workers of the opposite sex for the same work or work of similar nature were paid/have been paid at the rate of ______________ during the said period. (5) The petitioner(s) estimates/estimate the values of relief sought by him/them at Rs._____________ (Rupees_______________ in words). (6) The petitioner(s), therefore, prays/pray that the Authority may be pleased to decide the claim set out above and pass such order or orders thereon as it may deemed fit and proper. (7) The petitioner(s) begs/beg leave to amend or add to or make alternations in the petition, if and when necessary, with the permission of the Authority. The petitioner(s) does/do solemnly declare that the facts stated in this petition are true to the best of his/her/their knowledge belief and information. I have been duly authorized in writing by __________________ (here insert the name of worker(s) to appear and act on his/her/their behalf.
Signature of the legal practitioner/Official of
a registered Trade Union duly authorized. Station________________ Date__________________ ------------------------------------------------------------------------------------------------------------ Strike out which ever is inapplicable.
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