FORM K3 : RECOVERY OF DUES Rule 62(2) Application under sub-section (2) of section 33C of the Industrial Disputes Act, 1947 Before the Central Government Labour Court at _______________________________ Between ______________________ Applicant (s) And ______________________ Employer The petitioner , ____________________ a workman of ___________________ M/s , ___________________ of _______________ The petitioners undersigned, workmen of _________________ is / are entitled to receive from the said M/s _____________________ the money / benefits mentioned in the statement hereto annexed. It is prayed that the Court be pleased to determine the amount / amounts due to the petitioner (s). Signature or thumb impression (s) of the applicant (s) ____________________________________________. Address(es)___________________________________ _____________________________________ 1. 2. 3. 4. Station _____________ Date _______________ ANNEXURE (Set out the details of the money due or the benefits accrued together with the case for their admissibility) | 