(See Rule 4) Form of application for reference of a dispute to a Conciliation Officer under Section 4 or Section 7 of Tribunal The Cine-workers and Cinema Theatre Workers (Regulation and Employment) Act, 1981. Whareas a dispute??is apprehended / exists between......................and ....................... and it is expedient that the *matters specified in the enclosed statement which are connected/the dispute investigation and settlement relevant to the dispute should be referred for adjudication by a Conciliation / Tribunal Officer Tribunal ________________an application is hereby made under section 4 or 7 of the Cine –Workers and Cinema Theatre Workers (Regulation of Employment) Act, 1981 that the said matters / said dispute should be referred to a conciliation officer / Tribunal. This application is made by the undersigned who has / have been duly authorised to do so by virtue of resolution (Copy enclosed) adopted by a majority of the members present at a meeting of the ______________________held on the __________20_____________
A statement giving the particulars required under rule 4 of the Cine-Workers and Cinema Theatre Workers, 1984 is enclosed.
Signature of employer ___________
Or agent ____________________________
Or ______________________________ *Delete whichever is not applicable Signature of the president of Trade Union
Secretary of the Trade Union Or Signature of five representatives duly authorised
(vide resolution enclosed) ______
*or
Signature of the Ciner-Worker (s) Or Signature of the Cine Worker in the same establishment duly authorised
(vide authorization dated)________________
To
The Secretary to the Government of India ,
Ministry of Labour
New Delhi
Statement required under rule 4 of the Cinema-Workers and Cinema Theatre Workers (Regulation of Employment) Rules, 1984;
(a) Parties to the dispute including the name and address of the establishment involved
(b) Specific matters in dispute
(c) Total number of Cine-Workers employment in the establishment
(d) Estimated number of Cine-Worker affected or likely to be affected by the dispute
(e) Efforts made by the parties themselves to adjust the dispute *delete whichever is not applicable
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