Form of Group Application [See sub-section (2) of sections 15 and 16 of Payment of Wages Act] In the Court of the Authority appointed under the Payment of Wages, Act, 1936 (4 of 1936) for ………………….. area application No………………… of …………
Between A.B.C…………………………………………………
Applicants
A legal practitioner (through a legal practitioner/an official of …………………………….. which is a registered union).
And X.Y.Z………………………………………………. Opposite Party.
The applicants state as follows: 1. The applicants whose names and permanent addresses appear in the attached schedule are persons employed in the /on the /factory/railway/insustrial establishment entitled and resides at …………………………….
The address of the applicants for service of all notice and processes is:
………………………………………………………………………….
2. X.Y.Z. the opposite party, is the person responsible for the payment of wages under section 3 of the Act, and his address for the service of all notices and processes is:
…………………………………………………………………………….
3. The applicants’ wages have not been paid for the following wage-period(s):
……………………………………………………………………………..
4. The applicants estimate the value of the relief sought by them at the sum of Rs…
5. The applicants pray that a direction may be issued under sub-section (3) of section 15 for: (a) Payment of the applicants’ delayed wages as estimated……………. Or such greater or lesser amount as the Authority may find to be due.
(b) Compensation amounting to…………….
The Applicants certify that the statement of facts contained in this application is, to the
best of their knowledge and belief, accurate.
Signature of thumb impression of two of the Applicants, or legal practitioner, or an official of A registered trade union duly authorized. SCHEDULE
________________________________________________________________________
S.No. Name of Applicant Permanent Address
________________________________________________________________________
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