Form VII — See Rule 24

FORM- VII
                                                                 (See rule 24)

 (APPLICATION UNDER SECTION 59(1) OF THE INDUSTRIAL RELATIONS CODE, 2020) FOR RECOVERY
                                       OF MONEY

To,

(1) The Secretary to the Government of India, Ministry of Labour and Employment, New Delhi.

(2) The Deputy Chief Labour Commissioner (Central)........................ (here insert the name of the region).

Sir,

              I/We have to state that I am/we are entitled to receive from M/s ................................... a sum of Rs. .............(in
words) on account of ................ under the provisions of Chapter IX and X of the Industrial Relations Code, 2020 (35 of
2020) /in terms of the award dated the.................... given by..................... /in terms of the settlement dated the
..................... arrived at between the said M/s ......................... and their worker through........................... the duly elected
representatives.

         I/We further state that I/we served the management with a demand notice by speed post on ..................... for
the said amount which the management has neither paid nor offered to pay to me/us even though a fortnight has since
elapsed. The details of the amount have been mentioned in the statement hereto annexed.

         I/We request that the said sum may kindly be recovered from the management under sub-section (1) of section
59 of the Industrial Relations Code, 2020 (35 of 2020) and paid to me/us as early as possible.

                                                                                                                Signature of the applicant(s)

Address(es)

Station:

Date:.

                                                                       ANNEXURE

                                                  (Specify the details of the amount(s) claimed.)