The Industrial Disputes (Central) Rules

FORM H
(See Rule 59)
Form for Memorandum of Settlement
Name of Parties :
Representing employer (s):
Representing workmen:
Short recital of the case
Terms of settlement
Signature of the parties
Witnesses :

1.
2.
* Signature of Conciliation Officer/Board of Conciliation
Copy to:-
(i.) ** The Assistant Labour Commissioner (Central)
(here enter the office address of the Assistant Labour Commissioner (Central) in the local area concerned)
(ii.) The Regional Labour Commissioner (Central)

(iii.) The Chief Labour Commissioner (Central), New Delhi

(iv.) The Secretary to the Government of India, Ministry of Labour,

* - In cases of settlements effected by Conciliation Officer/Board of Conciliation

** - In cases where settlements are arrived at between the employer and his workmen otherwise than in the
course of conciliation proceeding.