Industrial Relations Form V: voluntary arbitration agreement

Parties’ agreement referring specifically identified industrial disputes to named arbitrators under the prescribed route.

(See rule 20) · Industrial Relations (Central) Rules, 2026 · Central-sphere scope

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Completed fictional voluntary arbitration agreement concerning Illustration Central Engineering Ltd (fictional), 14 Example Works, New Delhi 110001. The selected legal route and inapplicable alternatives are identified below.

Fictional, unsigned completed illustration. It demonstrates this form’s fields; it is not a filed return, medical opinion, official order or proof of an actual transaction.

When and how this form is used

Rule 20’s agreement asks for actual disputed matters, parties, arbitrator details and worker counts. The award-period clock in the form runs from Gazette publication, not automatically from signing.

A signed draft without the required statutory steps is not proof that an arbitral reference or published agreement exists. The sole-arbitrator sample marks the multiple-arbitrator alternative N/A.

The completed fields

Parties, reference and scope

Prescribed field / section	Completed fictional entry
Employer party / address	Illustration Central Engineering Ltd (fictional), 14 Example Works, New Delhi 110001; Kavita Shah, authorised director
Worker party / union	Illustration Engineering Workers Union (fictional); Asha Verma, authorised officer
Arbitrator / address	Arun Mehta (fictional), 22 Example Chambers, New Delhi 110001; single arbitrator
i. Matters in dispute	Entitlement to September 2026 shift allowance of ₹2,000 for each of twelve listed workers
ii–iii. Establishment / represented workers	Illustration Central Engineering Ltd (fictional), 14 Example Works, New Delhi 110001; twelve beneficiaries identified in the real annexure
iv–v. Total / affected workers	350 total; 12 affected

Award period, alternatives and execution

Prescribed field / section	Completed fictional entry
Agreed award period	60 days from Central Government Gazette publication of the agreement, with written mutual extension only as permitted
Multiple arbitrator / umpire branch	N/A because one arbitrator selected; no equal-division clause invoked
Failure to award / agreement	Prescribed cancellation/fresh-negotiation provision applies to actual agreed period; publication date NOT ISSUED in sample
Signatories / witnesses	Kavita Shah / Asha Verma; fictional Neha Das and Ravi Kumar witness lines; Unsigned fictional illustration; no seal, filing acknowledgement or authority act executed
Copies	Jurisdictional conciliation officer and Secretary, Ministry of Labour and Employment

Supporting records and reconciliation

Genuine agreement and authority of parties, dispute/beneficiary details, arbitrator consent, copies, actual Gazette publication and any written extension.

Official source and version

Official Ministry of Labour Gazette PDF, Form V, PDF pages 77–77

Industrial Relations Code 2020, actual relevant sections; Gazette Act 35 of 2020

Act 1 of 2026, section 2 substitutes section 104 repeal/authority continuity

Download the official source pages containing this form. Adjacent prescribed forms can share a source page; use the heading and rule identified above.

These are Central Rules. Use the actual appropriate government and authority. The 2026 amending Act substitutes section 104’s repeal/continuity provisions and continues existing Tribunals/statutory authorities until the Code authorities function: https://egazette.gov.in/WriteReadData/2026/270186.pdf. Enacted Code: https://egazette.gov.in/WriteReadData/2020/222118.pdf

Practical questions

Can I submit the sample as my own completed form?

No. Replace the fictional facts with accurate records, use the competent filing or record-keeping route described above and complete genuine signatures or certifications where required.

What makes the example specific to this form?