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Equal Remuneration Act Form B Guide

The document is a claim form submitted under the Equal Remuneration Act of 1976 in India. It provides details of the complainant, employer, nature of work, pay discrepancy between genders, estimated relief amount sought, and a request for the authority to decide on the claim and provide relief.

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Abhishek Chaurasia
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425 views2 pages

Equal Remuneration Act Form B Guide

The document is a claim form submitted under the Equal Remuneration Act of 1976 in India. It provides details of the complainant, employer, nature of work, pay discrepancy between genders, estimated relief amount sought, and a request for the authority to decide on the claim and provide relief.

Uploaded by

Abhishek Chaurasia
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Equal Remuneration Act

FORM B
(To be submitted in triplicate)
See Rule 4(1)

Claim under clause (b) of sub-section (1) of Section 7 of the


Equal Remuneration Act, 1976 (25 of 1976)

To
The Authority appointed under sub-section 1 of Section 7.
(Address)
A.
Complainant(s) Full address:
Versus
B.
Opposite Party Full address:
The petitioner(s) above named states / state as follows:---
(1) The petitioner (s) was / were / is / are employed form to
as (category) in (name of the establishment)
of Shri / Messrs
(name of the employer and address).
(2) The opposite party is the employer within the meaning of clause (c) of Section 2 of the Equal
Remuneration Act, 1976 (25 of 1976).
(3) The petitioner (s) was / were / has / have not been paid wages at rates equal to those of workers of the
opposite sex for the same work or work of a similar nature for the period from to
(4) The petitioner (s) was / were / has / have been paid wages at the rate of
whereas workers of the opposite sex for the same work or work of a similar nature were paid / have been
paid at the rate of during the said period.
(5) The petitioner (s) estimates / estimate the value of relief sought by him / them at Rs.
Rupees (in words).
(6) The petitioner (s), therefore, prays / pray that the Authority may be pleased to decide the claim set out
above and pass such order or orders thereon as it may deem fit and proper.
(7) The petitioner (s) begs / beg leave to amend or add to or make alterations in the petition, if and when
necessary, with the permission of the Authority.
The petitioner (s) does / do solemnly declare that the facts stated in this petition are true to the best of his /
her / their knowledge, belief and information.
Signature(s)/thumb-impression(s)
of the Petitioner(s)
*I have been duly authorised in writing by here
insert the name of worker (s) to appear and act on his / her / their behalf.

Station: Signature of the legal practitioner/


Official of a registered Trade
Date Union duly authorised
*Strike out this portion if inapplicable.

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