Form XV — Notice To The Employer/Person Who Committed An Offence For The First Time

FORM-XV
                                                       [See rule 38]

(NOTICE TO THE EMPLOYER/PERSON WHO COMMITTED AN OFFENCE FOR THE FIRST TIME)

The Compounding Officer, hereby informs you that the allegation has been made against you for violation of various
provisions of this Code as per the details given below:––

                                                        PART - I

1. Name and address of the offender employer/person-       ……………………………..
2. Address of the establishment …………….………………………………………….
4. Particulars of the offence …………………………………………………………………………
5. Section of the Code under which the offence is committed
……………………………………………………………..
6. Compounding amount to be paid towards composition of the
offence………………………………………………………………….

                                                        PART – II
         You are advised to deposit the above mentioned amount within fifteen days from the date of receipt of this
notice for compounding of the offence read with rule 38, along with an application duly filled in Part – III of this notice.
         In case you fail to deposit the said amount within the time so specified, no further opportunity shall be given
to you and necessary steps shall be taken for filing of prosecution under section 87 of the Code.

                                                                                  (Signature of the compounding officer)
Date:
Place:

                                                       PART – III

1. Name of applicant (name of the employer/person who committed the offence under the Industrial Relations Code
2020 (35 of 2020) to be mentioned……………………………………………………..
2. Address of the applicant …………….………………………………………….
3. Particulars of the offence
……………………………………………………………………………………………………………………………
………………………………………………………………………………………………………..
4. Section of the Code under which the offence has been committed
……………………………………………………………..
5. Details of the compounding amount deposited (electronically generated receipt to be
attached)………………………………………………………………….

6. Details of the prosecution, if filed for the violation of above mentioned offences may be given
…………………………………………..
7. Whether the offence is first offence or the applicant had committed any other offence prior to this offence, if
committed, then, full details of the offence
……………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………
…………………………………………………………………..
8. Any other information which the applicant desires to provide
……………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………
…………………………………………………………………..

                                                                                       Applicant
                                                                                                     (Name and signature)

Dated:

Place: