178.   THE ORISSA INDUSTRIAL DISPUTES RULES,1959  (F.G)

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FORM    G

(See Rule -38 )

                                      Before (here mention the authority concerned)

                            Reference No.____________of _______________workmen

                                                               

                                                                            Versus

                                           _________________________Employer.

                         in the matter of _______________I/We hereby authorize Sri/Sarbasri____________

                        to represent me /us in the above matter.

                         dated  this ________ day of ________ 2000.

 

                                                                                                                Signature of person(s)

                                                                                                                Nominating the representative(s)

            Accepted.

 

Signature of representative(s)                                                                    Address/

             Address.

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