Form XII — See Rule 26

FORM -XII
                                                                                (See rule 26)

                  (NOTICE OF LOCK-OUT GIVEN BY EMPLOYER OF INDUSTRIAL ESTABLISHMENT)

Name of employer ..........................................................................................................
Address..........................................................................................................................
Dated the...............day of................20...................

                  In accordance with the provisions of sub-section (2) of section 62 of the Industrial Relations Code, 2020 (35
of 2020) , I/we hereby give notice to all concerned that it is my/our intention to effect lock out
in..,..........................................................department(s), section(s) of my/our establishment with effect
from.......................for the reasons explained in the Annexure.

Signature.....................................................
Designation............................................

                                                    ANNEXURE

   1.      Statement of reasons

Copy forwarded to:

        (1) The Secretary of the Registered Union, if any

        (2) Conciliation officer .......... [Enter the office address of the Assistant Labour Commissioner (Central) /
            Regional Labour Commissioner (Central)/ Deputy Chief Labour Commissioner (Central) of the concerned
            area.]
        (3) Chief Labour Commissioner (Central) New Delhi
        (4) Secretary, Ministry of Labour and Employment, New Delhi