Application by employee to claim under Minimum Wages Act
In the court of Authority appointed under minimum wages 1948 for ____________________ area.
Application No . _____________________ of 20
Through __________________________an advocate ______________________ official of __________________________ union which being a registered trade union.
1. ____________________________________ opponents
The application/s named-above beg/s respectfully to submit as below:
i. That _____________________________________
ii. That ____________________________________
The application’s has/have been paid less wages than the minimum rate of wages.
The applicant/s estimate /s the value of the relief sought by him/them at the sum of Rs _____
The applicant/s pray/s that instruction may be issued under sub –sec(3) of s.28 for---
a. Paying difference in wages due according to the minimum rate of wages fixed by government and wages actually paid, and
b. Indemnification amonunting to Rs ___________________________________
The applicant/s beg/s leave to alter to or make amendments in application ,if any, and when compulsory.
Signature or thumb impression of the employee/s or legal practitioner or officials of the registered trade union duly authorised.