Form-F Rule – 36

FOR AUTHORISING REPRESENTATION TO A DISPUTE BY THE PARTIES TO DISPUTE

Before (Here mention the authority concerned)

Reference No………………........................ of ……………………. ..............................Workmen

Versus

……………….................................................................................................................. Employer

In the matter…………… I/We hereby authorise Shri/Sarvashree……………..
to represent me/us in the above matter. Dated this…………… day of…………. 20….

Signature of person(s) nominating the representative (s)

Address

Accepted

Signature of representative(s)

Address(es).