Labour Before The Hon Ble Labour Cum Conciliation Officer Of Tn At Coimbatore

BEFORE THE HON'BLE LABOUR-CUM-CONCILIATION OFFICER OF _____________



Reference No: _____________ of 20________


________________________________________.Workmen 

Versus



________________________________________..Employer/Respondent 

In the matter of -ABOVE MENTIONED- I/we hereby authorize  Shri __________________ to represent me in the above matter. 

Dated this ______. 

Signatures of person nominating the representative 

Address : 

Accepted 

Signatures of Representatives 

Address: 

________________________