Single application under section 45(5)

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...................... of 20...... Between ABC and (State the number).........other ................................................................................ Applicant (Through employees concerned or registered trade union or Inspector-cum-Facilitator Address........................................................................................... And XYZ...............................

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....e by Rs..................Per day for the period(s) from...........................to............................ (b) The applicant(s) has/ have not been paid wages at Rs ................................. Per day for the weekly days of rest from ............................to... (c) The applicant(s) has/ have not been paid wages at overtime rate(s) for the period from.......................to....