Form K‑3 Application under sub‑section (2) of section 33C of the Industrial Disputes Act, 1947
Before the Central Government Labour Court at……………..
Between
(1) Name of the applicant(s).
(2) Name of the employer.
The petitioner……………..……………..……………..……………..a workman of /The petitioners undersigned, workmen of M/S ……………..of……………..is/are entitled to receive from the said M/s. ……………...............the money/benefits mentioned in the statement hereto annexed.
It is prayed that the Court be pleased to determine the amount/amounts due to the petitioner(s).
Address(es)
Station…………….. Signature or thumb‑impression(s) of the applicant(s)
Date…………….. 1.
2.
3.
4.
ANNEXURE [Here set out details of the money due or the benefits accrued together with the case for their admissibility.]

Using this format

This is a reference draft reproduced for study and adaptation. Court rules, court fees and the correct forum vary with the facts and the value of the claim, so have the document checked and filed by an advocate. A defective application can be returned or dismissed even when the case itself is good.

Our Labour & Employment team drafts and files these documents before the Calcutta High Court, city civil courts, magistrate, family and consumer courts in Kolkata. Our employment team drafts agreements and handles labour disputes.

Disclaimer: this page is a sample format reproduced for reference and study. It is not legal advice and does not create an advocate–client relationship.

Application for Determination of the Amount

Using this format

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