Pre-filing check
Confirm jurisdiction, signatory, limitation/notice period, copies and annexures.
Form IX — See Rule 24
Filing identity
Exact Gazette format
Exact Gazette text extracted from the official English notification
FORM - IX
(See rule 24)
[(APPLICATION TO TRIBUNAL UNDER SECTION 59(2) OF THE INDUSTRIAL RELATIONS CODE, 2020
BY WORKER)]
Before the Central Government Industrial Tribunal at. ……….
............................................................. between......................... and.
.........................................................................................
(1) Name of the applicant(s) ……………………………………………………………………….
(2) Name of the employer ………………………………………………………………………….
The petitioner(s) .................... a worker of ......................M/s. ..............................of
.........................................The petitioner(s) undersigned, worker/workers 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 Tribunal may be pleased to determine the amount /amounts due to the petitioner (s).
Signature or thumb impression (s) of the applicant(s)
Address (es) ……………………………………………………..
Place......................................................
Date.........................................................
ANNEXURE
(Specify the details of the money due or the benefits accrued together with the case for their admissibility.)Service proof
Retain portal acknowledgment, email headers, speed-post proof or receipt required by the rule.
Data quality
Reconcile worker counts, UAN/CMPFO details, dates, wages and establishment identity to source records.
Post-filing
Diary hearing/decision dates and preserve the final order with implementation evidence.
Source and review trail
Use the current official instrument, portal or regulator publication before acting. This panel separates the category authority from page-specific references.
This page reflects the published text; publication of a Code or Central Rule does not by itself establish its commencement date or applicability in every State.
- Official starting point
- www.labour.gov.in