RECORD OF ORDER OF DIRECTION (1) Serial number……………………….
(2) Date of the application…………………..
(3) Name or names, parentage, address or addressed of the applicant, or some, or all of the applicants belonging to the same unpaid group: (4) Name and address of the employer:
(5) Amount claimed:
(a) as delayed wages: Rs. ……………
(b) as deducted from wages: Rs…………
(6) Plea of the employer and his examination (if any):
(7) Finding, and a brief statement of the reasons therefore:
(8) Amounts awarded:
(a) delayed wages Rs…………
(b) deducted wages……………
(9) Compensatin awarded………………..
(10) Penalty imposed………………………
(11) Costs awarded to:
(a) Court-fee Charges…………….
(b) Pleader’s fee…………………...
(c) Witnesses’ expenses……………
(12) Date by which the amounts awarded shall be paid.
Signed
Dated
Note:- In case where an appeal lies, attach on a separate sheet the substance of the
evidence.
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