Cap. 25C 《勞資審裁處(表格)規則》Labour Tribunal (Forms) Rules

Schedule

[rule 2]

Form 1

Labour Tribunal Ordinance
(Chapter 25)

TITLE TO CLAIM: GENERAL FORM

				Claim No. of
Between		(a)	. Claimant(s)
		and
		(b)	. Defendant(s)
Note:	(a)	Insert full name and address of each claimant and, in the case of a representative claim, the name and address of each person represented.
	(b)	Insert full name and address of each defendant.

(L.N. 125 of 1995; 20 of 2014 s. 19)

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[s. 11] Labour Tribunal Ordinance
(Chapter 25) FORM OF CLAIM[title as in Form 1]

To the Defendant.
	The claimant claims the amount of
particulars of the grounds for which and the manner in which it is calculated are set out as follows:
	(a)	1.		The grounds for the claim are:
	(b)	2.		The amount of claim is calculated as follows:
	Dated this . day of .
					(c) (Signature of Claimant)
	Filed this . day of .
					Registrar
					L.S.
Note:	(a)	Set out sufficient particulars to inform the defendant of the grounds for the claim.
	(b)	Set out in full the manner in which the amount of claim is calculated and whether it includes any interest or expenses.
	(c)	This claim must be signed by each claimant or person represented before the date of hearing.

(L.N. 125 of 1995; 20 of 2014 s. 19)

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[s. 13] Labour Tribunal Ordinance
(Chapter 25) NOTICE OF PLACE AND DAY FIXED FOR HEARING[title as in Form 1]

To the Defendant.
Take Notice that this claim has been made by the claimant against you and will be heard at a tribunal to be held at . . before . , Presiding Officer, on the . day of . , at . *a.m./p.m.
And Take Notice that if you do not attend at the time and place mentioned, the claim will be heard in your absence and such award or order may be made in your absence as the tribunal thinks fit.
	Dated this . day of .
			Registrar
			L.S.
(a) This notice and a copy of the claim was served by me on . at . on the . day of .
(Signature of recipient of claim and notice)				(Signature of process server)
* Delete whichever is not applicable.
Note:	(a)	Service shall be effected in accordance with section 13(2) of the Labour Tribunal Ordinance.

(L.N. 125 of 1995; 20 of 2014 s. 19)

_

[s. 13] Labour Tribunal Ordinance
(Chapter 25) NOTICE OF NEW PLACE AND NEW DAY FIXED FOR HEARING[title as in Form 1]

To the Defendant.
Take Notice that this claim will be heard at . . on the . day of . . , at . *a.m./p.m. and any previous notice of the place and date of hearing is hereby cancelled.
Dated this . day of .
				Registrar
				L.S.
(a) This notice was served by me on . at . on the . day of .
(Signature of recipient of notice)				(Signature of process server)
* Delete whichever is not applicable.
Note:	(a)	Service shall be effected in accordance with section 13(2) of the Labour Tribunal Ordinance.

(L.N. 125 of 1995; 20 of 2014 s. 19)

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[(Gen.) rule 7] Labour Tribunal Ordinance
(Chapter 25) NOTICE OF DAY OF HEARING BY COURT/TRIBUNAL TO
WHICH CLAIM HAS BEEN TRANSFERREDIn the *Court of First Instance/District Court/Small Claims Tribunal
of Hong Kong [title as in Form 1]

To all Parties Interested.
Take Notice that this claim has been transferred to *this Court/this Tribunal and will be heard at . on the . day of . , at . *a.m./p.m.
Dated this . day of .
				Registrar, *High Court/District Court/Small Claims Tribunal
				L.S.
(a) This notice was served by me on . at . .on the . day of .
(Signature of recipient of notice)						(Signature of process server)
* Delete whichever is not applicable.
Note:	(a)	Service shall be effected in accordance with the Labour Tribunal (General) Rules.
	(L.N. 125 of 1995; 25 of 1998 s. 2; 25 of 1999 s. 19; 20 of 2014 s. 19)

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[s. 14(1) & (Gen.) rule 8(a)] Labour Tribunal Ordinance
(Chapter 25) SUMMARY OF FACTS [title as in Form 1]

To the Presiding Officer.
I, . , tribunal officer, on the . day of . received a copy of this claim from the registrar and have inquired into the facts thereof, a summary of which is set out in the following :
	1.	By a contract of employment made *orally/in writing, *(a copy of which is attached) on the . day of ., the claimant(s) agreed *to serve/employ the defendant(s) as . on the following terms:
		(a) . (b) . (c) . (d) .
	2.	*The claimant(s) were dismissed from the services of the defendant(s) on the . day of .
	3.	*The dismissal was made *orally/in writing *(a copy of which is attached).
	4.	*The defendant(s) left the services of the claimant(s) on the . day of .
	5.	*The defendant(s) gave *no notice/ .days’ notice to the claimant(s) of *his/their intention to leave the services of the claimant(s).
	6.	*The claimant(s) became ill on the . day of . and informed the defendant(s) *orally/in writing *(a copy of which is attached) of *his/their illness and the opinion of *his/their medical advisor *(a copy of which is attached) that he/they would be unable to resume work for . days.
	7.	*The following facts are agreed by the claimant(s) and the defendant(s): (a) . (b) . (c) . (d) .
	8.	*The claimant(s) dispute(s) the following facts: (a) . (b) . (c) . (d) .
	9.	*The defendant(s) dispute(s) the following facts: (a) . (b) . (c) . (d) .
	10.	The following facts are, in my opinion, of assistance to the tribunal: (a) . (b) . (c) . (d) .
	11.	The following persons have refused to be interviewed by me: (a) . (b) . (c) . (d) .
	12.	The following persons have been interviewed by me but have refused to *make any statement/answer any question put to him: (a) . (b) . (c) . (d) .
Dated this . day of .
					Tribunal Officer
* Delete whichever is not applicable.
Note:	To be completed in duplicate and delivered to the registrar not later than 24 hours after the completion of the necessary inquiries.

(L.N. 125 of 1995; 20 of 2014 s. 19)

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[s. 15(1)] Labour Tribunal Ordinance
(Chapter 25) CERTIFICATE OF CONCILIATION [title as in Form 1]

I, . , authorized officer, hereby *certify/report—
*That the following *claimant(s)/defendant(s), having been interviewed by me, *has/have indicated *his/their refusal to take part in conciliation :
	(a)	1. . 2. . 3. . 4. .
*That the parties to this claim, having taken part in conciliation, have not been able to reach any settlement.
*That having interviewed the parties to this claim, I am of the opinion that conciliation is unlikely to result in a settlement being reached.
*That having interviewed the parties to this claim, I am of the opinion that conciliation may prejudice the interest of the *claimant(s)/defendant(s).
(b) Dated this . day of .
					Authorized Officer
*(c) I, . , tribunal officer, having studied the above report, certify that it is true and correct.
*(b) Dated this . day of .
					Tribunal Officer
* Delete whichever is not applicable.
Note:	(a)	Insert full name of each claimant or person represented, or defendant who refuses to participate in conciliation.
	(b)	To be delivered to the registrar not later than 24 hours before the date fixed for the hearing of the claim.
	(c)	To be filled and signed by the tribunal officer if the authorized officer has reported to him on conciliation.

(L.N. 125 of 1995; 20 of 2014 s. 19)

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[s. 15(3)] Labour Tribunal Ordinance
(Chapter 25) NOTICE OF ADJOURNMENT [title as in Form 1]

To the Commissioner for Labour.
Take Notice that this appearing to me that there is a reasonable likelihood of a settlement of this claim being agreed to by all or some of the parties thereto, I have ordered that hearing of this claim be adjourned to the . day of . at . *a.m./p.m.
Dated this . day of .
					Presiding Officer
* Delete whichever is not applicable.

(L.N. 125 of 1995; 20 of 2014 s. 19)

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[s. 15(5) & (6)] Labour Tribunal Ordinance
(Chapter 25) ADVICE OF RESULT OF CONCILIATION [title as in Form 1]

To the Presiding Officer.
Conciliation has been held by me pursuant to section 15(4) of the Labour Tribunal Ordinance between the *(following) parties to this claim:
*A settlement has been agreed to by such parties.
*I am of the opinion that there is no reasonable likelihood of a settlement being agreed to by such parties.
*The following has resulted from conciliation:
	Dated this . day of .
					*Authorized Officer/ for Commissioner for Labour
* Delete whichever is not applicable.
Note:	This advice has to reach the presiding officer not less than 24 hours before the date to which hearing has been adjourned.

(L.N. 125 of 1995; 20 of 2014 s. 19)

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[s. 15(7)] Labour Tribunal Ordinance
(Chapter 25) CERTIFICATE OF SETTLEMENT [title as in Form 1]

	We,	(a)
parties to this claim, hereby agree to a settlement of this claim on the following terms:
(b)
The above agreement has been interpreted to us in the .. dialect and understood by us.
	Dated this . day of .
				(c)	(Signature of Claimant(s))
				(c)	(Signature of Defendant(s))
	Before me,
	Authorized Officer
	Filed this . day of .
						Registrar
						L.S.
Note:	(a)	Insert full names of those parties who agree to the settlement.
	(b)	Set out in full the conditions on which the settlement is agreed.
	(c)	This certificate must be signed by all parties who agree to the settlement.

(L.N. 125 of 1995; 20 of 2014 s. 19)

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	Form 10A		[s. 30A(2)]
Labour Tribunal Ordinance (Cap. 25)
APPLICATION MADE FOR THE PURPOSES OF SECTION 32PA OF THE EMPLOYMENT ORDINANCE (CAP. 57)
[title as in Form 1]

To the Labour Tribunal.
This claim, made by me (a) …………………………, was heard and determined by the tribunal. The tribunal made an order for re-engagement under section 32N of the Employment Ordinance (Cap. 57) on the ................ day of ........................... 20......, for (b) ………………………… (defendant) to re-engage me by the (c) .................. day of ........................... 20...... A copy of the order accompanies this application. (d)
I, (a) …………………………, apply for variation of the order under section 32PA of the Employment Ordinance (Cap. 57) to the effect that engagement of me by (e) ………………………… (alternative employer) is to be treated as re-engagement by the defendant in compliance with the order.
The agreement/A copy of the agreement in respect of the proposed variation dated the ................ day of ........................... 20...... made among myself, the defendant and the alternative employer (as mentioned in section 32PA(3) of the Employment Ordinance (Cap. 57)) accompanies this application. (f)
The terms on which the alternative employer is to engage me are the same as the terms on which the defendant is to re-engage me under the order./The terms on which the alternative employer is to engage me are not the same as the terms on which the defendant is to re-engage me under the order. The terms that are different are as follows:
Dated this ................ day of ........................... 20......
.........................................................
(Signature of claimant)
Delete whichever is not applicable.
Note:	(a)	Insert full name of the claimant making this application.
	(b)	Insert full name of the defendant.
	(c)	Insert date by which the claimant must be re-engaged.
	(d)	If this application is made in relation to an order for re-engagement to which any variation has previously been made under section 32PA or 32PC of the Employment Ordinance (Cap. 57), a copy of the order made for each previous variation must also accompany this application.
	(e)	Insert full name of the alternative employer. This application seeks to have the engagement of the claimant by the alternative employer to be treated as re-engagement by the defendant in compliance with the order for re-engagement.
	(f)	The agreement among the claimant, the defendant and the alternative employer in respect of the proposed variation, or a copy of the agreement, must accompany this application.

(21 of 2018 s. 18)

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	Form 10B		[s. 30A(4)(a)]
Labour Tribunal Ordinance (Cap. 25)
APPLICATION MADE FOR THE PURPOSES OF SECTION 32PC OF THE EMPLOYMENT ORDINANCE (CAP. 57)
[title as in Form 1]

To the Labour Tribunal.
In relation to the above claim in respect of a dismissal in certain circumstances mentioned in section 32A(1)(c) of the Employment Ordinance (Cap. 57), the tribunal made against *me/us (a) ………………………… in favour of (b) ………………………… (claimant) an order for *reinstatement/re-engagement under section 32N of that Ordinance on the ................ day of ........................... 20...... A copy of the order accompanies this application. (c)
Under section 32N(4)(d)/32N(6)(g) of the Employment Ordinance (Cap. 57), the order specifies that, if I/we fail to reinstate/re-engage the claimant by the (d) ................ day of ........................... 20......, I/we must pay to the claimant the sum of (e) $................ by the (f) ................ day of ............................ 20......
I/We apply for relief from the liability to pay that sum (state the relief sought)
The grounds for my/our application are—
(state the grounds for making the application)
The facts relevant to my/our application are—
(state the relevant facts)
The documents relevant to *my/our application accompany the application. (g)
Dated this ................ day of ........................... 20......
............................................................
( Signature of defendant, if an individual/Signature on behalf of defendant, if an unincorporated or incorporated company or a partnership)
If the defendant is an unincorporated or incorporated company or a partnership, please also state the name of the person or partner who signs on behalf of the defendant (in BLOCK LETTERS):
Delete whichever is not applicable.
Note:	(a)	Insert full name of the defendant making this application.
	(b)	Insert full name of the claimant.
	(c)	If this application is made in relation to an order for reinstatement/re-engagement to which any variation has previously been made under section 32PA or 32PC of the Employment Ordinance (Cap. 57), a copy of the order made for each previous variation must also accompany this application.
	(d)	Insert date by which the claimant must be reinstated/re-engaged.
	(e)	Insert amount of the sum mentioned in section 32NA(1)(b) of the Employment Ordinance (Cap. 57) that must be paid if the defendant fails to reinstate/re-engage the claimant.
	(f)	Insert date by which the sum must be paid.
	(g)	This application must state the grounds for making this application and the facts relevant to this application. The documents relevant to this application must accompany this application.

(21 of 2018 s. 18)

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	Form 10C		[s. 30A(3)(b) & (5)(b)]
Labour Tribunal Ordinance (Cap. 25) NOTICE OF HEARING OF AN APPLICATION MADE FOR THE PURPOSES OF SECTION
32PA/32PC OF THE EMPLOYMENT ORDINANCE (CAP. 57)
[title as in Form 1]

To all Parties Interested.
The tribunal made an order for reinstatement/re-engagement under section 32N of the Employment Ordinance (Cap. 57) on the ................ day of ........................... 20...... in respect of this claim. #A copy of the order accompanies this notice. Under the order, ………………………… (claimant) is to be reinstated/re-engaged by ………………………… (defendant). (a)
The claimant has applied for variation of the order for re-engagement under section 32PA of the Employment Ordinance (Cap. 57) to the effect that engagement of the claimant by (b) ………………………… is to be treated as re-engagement by the defendant in compliance with the order.
#A copy of the application accompanies this notice.
The defendant has applied for relief under section 32PC of the Employment Ordinance (Cap. 57) from the liability under the order for reinstatement/re-engagement to pay to the claimant the sum of (c) $................ (which is payable if the defendant fails to reinstate/re-engage the claimant by the (d) ................... day of ........................... 20......).
#A copy of the application accompanies this notice.
Take Notice that …………………………, Presiding Officer, will hear the application at …………… on the ................ day of ........................... 20...... at ……………
Dated this ................ day of ........................... 20......
.........................................................
Registrar
L.S.
(e) This notice was served by me on …………… at …………… on the ................ day of ........................... 20......
.............................................................				......................................................
(*Signature of recipient of notice/ Signature on behalf of recipient of notice)				(Signature of process server)
	Delete whichever is not applicable.
#	Neither a copy of the order for reinstatement/re-engagement, nor a copy of the application, needs to accompany this notice as served on the party making the application.
Note:		(a)	If the application is made in relation to an order for reinstatement/re-engagement to which any variation has previously been made under section 32PA or 32PC of the Employment Ordinance (Cap. 57), a copy of the order made for each previous variation must also accompany this notice, except when this notice is served on the party making the application.
		(b)	Insert full name of the alternative employer. The application made for the purposes of section 32PA of the Employment Ordinance (Cap. 57) seeks to have the engagement of the claimant by the alternative employer to be treated as re-engagement by the defendant in compliance with the order for re-engagement.
		(c)	Insert amount of the sum mentioned in section 32NA(1)(b) of the Employment Ordinance (Cap. 57) that must be paid if the defendant fails to reinstate/re-engage the claimant.
		(d)	Insert date by which the claimant must be reinstated/re-engaged.
		(e)	Service to be effected in accordance with the Labour Tribunal (General) Rules (Cap. 25 sub. leg. A).

(21 of 2018 s. 18)

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[s. 31(2)(a)] Labour Tribunal Ordinance
(Chapter 25) NOTICE OF REVIEW BY A PRESIDING OFFICER OF HIS
OWN MOTION [title as in Form 1]

To all Parties Interested.
Take Notice that in exercise of the powers conferred by section 31(1) of the Labour Tribunal Ordinance, . Presiding Officer, will review the *award/order made on the . day of . against (a) .*claimant(s)/defendant(s) to this claim.
And Take Notice that the review will be heard at .. on the . day of . at . *a.m./p.m.
	Dated this . day of .
						Registrar.
						L.S.
(b) This notice was served by me on . at . on the . day of .
(Signature of recipient of notice)						(Signature of process server)
* Delete whichever is not applicable.
Note:	(a)	Insert full name and address of party against whom award/order was made.
	(b)	Service shall be effected in the manner prescribed under the Labour Tribunal (General) Rules.

(L.N. 125 of 1995; 20 of 2014 s. 19)

_

[s. 31(2)(b)] Labour Tribunal Ordinance
(Chapter 25) NOTICE OF REVIEW BY A PRESIDING OFFICER ON THE APPLICATION OF A PARTY [title as in Form 1]

To all Parties Interested.
An Application has been made by (a) ., a party to this claim, for a review under section 31 of the Labour Tribunal Ordinance of an *award/order made on the . day of . in respect of this claim.
Take Notice that . , Presiding Officer, will review the *award/order at . on the . day of . at . *a.m./p.m.
	Dated this . day of .
						Registrar.
						L.S.
(b) This notice was served by me on . at . on the . day of ..
(Signature of recipient of notice)						(Signature of process server)
* Delete whichever is not applicable.
Note:	(a)	Insert full name of the party by whom the application has been made.
	(b)	Service shall be effected in the manner prescribed under the Labour Tribunal (General) Rules.

(L.N. 125 of 1995; 20 of 2014 s. 19)

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[s. 31(4)] Labour Tribunal Ordinance
(Chapter 25) APPLICATION FOR REVIEW OF AN *AWARD/ORDER
BY A PARTY [title as in Form 1]

To . , Presiding Officer.
I, (a) . , a party to this claim which was heard and determined before you on the . day of . , being dissatisfied with the *award/order made by you in respect of this claim, hereby, pursuant to section 31(2)(b) of the Labour Tribunal Ordinance, make application to you to review the *award/order.
	(b)	Dated this . day of .
						(Signature of Applicant)
* Delete whichever is not applicable.
Note:	(a)	Insert full name of the party making application.
	(b)	An application for a review of an award or order must be made within 7 days of the award or order.

(L.N. 125 of 1995; 20 of 2014 s. 19)

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[s. 32(2)] Labour Tribunal Ordinance
(Chapter 25) APPLICATION FOR LEAVE TO APPEAL ON POINT OF LAW [title as in Form 1]

To the Court of First Instance.
I, (a) . , a party to this claim, pursuant to section 32 of the Labour Tribunal Ordinance do hereby apply for leave to appeal against the *award/order/determination by . , Presiding Officer, made in respect of this claim on the . day of .
The grounds on which I desire to appeal are that—
*the *award/order/determination is erroneous in point of law in that—(b)
	1.
	2.
	3.
	4.
*the *award/order/determination is outside the jurisdiction of the tribunal in that—(c)
	1.
	2.
	3.
	4.
	Dated this . day of .
						(Signature of Applicant)
	(d)	Lodged this . day of .
						Registrar, High Court
						L.S.
* Delete whichever is not applicable.
Note:	(a)	Insert full name of the party making the application for leave to appeal.
	(b)	Set out the point of law in question.
	(c)	Set out the reasons.
	(d)	This application must be lodged with the Registrar, High Court, within 7 days after the date on which the written award/order/determination appealed against was served.
	(L.N. 133 of 1974; L.N. 126 of 1976; L.N. 203 of 1982; L.N. 125 of 1995; 25 of 1998 s. 2; 20 of 2014 s. 19)

_

Form 15

(Repealed L.N. 126 of 1976)

_

[(Gen.) rule 8A] Labour Tribunal Ordinance
(Chapter 25) NOTICE OF DAY FIXED FOR HEARING OF AN APPLICATION
FOR LEAVE TO APPEAL [title as in Form 1]

To (the applicant).
Take Notice that your application dated . . for leave to appeal against the *award/order/determination of . , Presiding Officer, made on the . day of . in respect of this claim will be heard at . on the . day of . . at .
	Dated this . day of .
						Registrar, High Court
						L.S.
(a) This notice was served by me on . at . on the . day of .
(Signature of recipient of notice)						(Signature of process server)
* Delete whichever is not applicable.
Note:	(a)	Service to be effected in accordance with the Labour Tribunal (General) Rules.
	(L.N. 133 of 1974; L.N. 203 of 1982; L.N. 125 of 1995; 25 of 1998 s. 2; 20 of 2014 s. 19)

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[(Gen.) rule 9(1)(c)] Labour Tribunal Ordinance
(Chapter 25) NOTICE OF DAY FIXED FOR HEARING OF AN APPEALIn the High Court of Hong Kong [title as in Form 1]

To all Parties Interested.
Take Notice that leave to appeal against the *award/order/determination of . , Presiding Officer, made on the . day of . in respect of this claim has been granted. The grounds of appeal are set out in the application for leave to appeal, a copy of which is annexed hereto.
And Take Notice that this appeal will be heard at .. on the . day of . at .
	Dated this . day of .
						Registrar, High Court
						L.S.
(a) This notice was served by me on . at . on the . day of .
(Signature of recipient of notice)						(Signature of process server)
* Delete whichever is not applicable.
Note:	(a)	Service to be effected in accordance with the Labour Tribunal (General) Rules.
	(L.N. 133 of 1974; L.N. 203 of 1982; L.N. 125 of 1995; 25 of 1998 s. 2; 20 of 2014 s. 19)

_

Form 17

[(Gen.) rule 12(1)]

Labour Tribunal Ordinance
(Cap. 25) CERTIFICATE OF AWARD/ORDER [title as in Form 1]

	I, …………………………, certify as follows—
	1.	on the ................... day of ........................… 20…… (a) ………………………………… obtained against (b) …………………… in the tribunal—
		(1)	an award of ..................................;
		(2)	an order for the payment of ..................................;
		(3)	an order under section 32N of the Employment Ordinance (Cap. 57) for the reinstatement/re-engagement of the claimant with the following terms—
			[terms specified under section 32N(4) and (5)/section 32N(6) and (7) of that Ordinance]
	2.	the order for re-engagement was varied by an order of the tribunal made under section 32PA of the Employment Ordinance (Cap. 57) on the ................ day of ........................... 20...... to the effect as follows—
		[terms specified under section 32PA(7) of that Ordinance]
	3.	the order for reinstatement/re-engagement was varied by an order of the tribunal made under section 32PC of the Employment Ordinance (Cap. 57) on the ................ day of ........................... 20...... to the effect that
	Dated this ................ day of ........................... 20......
	Registrar/Officer authorized by Presiding Officer under rule 12(4) of the Labour Tribunal (General) Rules
	L.S.
To the Registrar, District Court.
The above certificate is presented by me/us for registration in accordance with rule 12(2) of the Labour Tribunal (General) Rules (Cap. 25 sub. leg. A).
Dated this ................ day of ........................... 20......
	.........................................................
	( Signature of party presenting the certificate for registration, if an individual/Signature on behalf of party presenting the certificate for registration, if an unincorporated or incorporated company or a partnership)
	If the party presenting the certificate for registration is an unincorporated or incorporated company or a partnership, please also state the name of the person or partner who signs on behalf of the party (in BLOCK LETTERS):
The above certificate is registered in the District Court.
Dated this ................ day of ........................... 20......
	Registrar, District Court
	L.S.
Delete whichever is not applicable.
Note:	(a)	Insert full name of the party in whose favour the award or order is made.
	(b)	Insert full name of the party against whom the award or order is made.

(21 of 2018 s. 18)

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[s. 20A] Labour Tribunal Ordinance
(Chapter 25) APPLICATION FOR RESTORATION OF A CLAIM [title as in Form 1]

To the Labour Tribunal.
I, (a) . , a claimant to this claim, which was struck out by the tribunal in my absence on the . day of . hereby, pursuant to section 20A of the Labour Tribunal Ordinance, make application for the restoration of the claim.
The *reason/reasons for my non-appearance at the hearing *is/are
	(b)	Dated this . day of .
						(Signature of Applicant)
* Delete whichever is not applicable.
Note:	(a)	Insert full name of the claimant making application.
	(b)	This application must be made to the tribunal within 7 days after the hearing or such further period as the tribunal may allow.

(L.N. 93 of 1984; L.N. 125 of 1995; 20 of 2014 s. 19)

_

[s. 21A] Labour Tribunal Ordinance
(Chapter 25) APPLICATION TO SET ASIDE AN *AWARD/ORDER [title as in Form 1]

To the Labour Tribunal.
I, (a) . , a defendant to this claim, which was heard and determined by the tribunal in my absence and an *award/order made on the . day of ., hereby, pursuant to section 21A of the Labour Tribunal Ordinance, make application to set aside the *award/order.
The *reason/reasons for my non-appearance at the hearing *is/are
	(b)	Dated this . day of .
						(Signature of Applicant)
* Delete whichever is not applicable.
Note:	(a)	Insert full name of the defendant making application.
	(b)	This application must be made to the tribunal within 7 days after the hearing or such further period as the tribunal may allow.

(L.N. 93 of 1984; L.N. 125 of 1995; 20 of 2014 s. 19)

_

[ss. 20A & 21A] Labour Tribunal Ordinance
(Chapter 25) NOTICE OF PLACE AND DAY FIXED FOR HEARING OF
AN APPLICATION TO *RESTORE A CLAIM/SET ASIDE
AN *AWARD/ORDER [title as in Form 1]

To all Parties Interested.
An application has been made by (a) .. , a *claimant/defendant to this claim, to—
*restore under section 20A of the Labour Tribunal Ordinance a claim which was struck out
*set aside under section 21A of the Labour Tribunal Ordinance the *award/order made
in the absence of the applicant on the . day of . in respect of this claim. The reasons for the non-appearance of the applicant are set out in the Application, a copy of which is annexed hereto.
Take Notice that the Application will be heard at a tribunal to be held at . before ., Presiding Officer, on the . day of .., at . *a.m./p.m.
	Dated this . day of .
						Registrar
						L.S.
(b) This notice and a copy of the application was served by me on . at . on the . day of .
(Signature of recipient of notice and application)					(Signature of process server)
* Delete whichever is not applicable.
Note:	(a)	Insert full name of the applicant.
	(b)	Service shall be effected in accordance with section 13(2) of the Labour Tribunal Ordinance.

(L.N. 93 of 1984; L.N. 125 of 1995; 20 of 2014 s. 19)