FORM IX

[See rule 32 (3) ]

Date of expiry..

Temporary Certificate of Registration

No. Date

Andaman and Nicobar Administration

Office of the Registering Officer

A temporary Certificate of Registration containing the following particulars is hereby granted

under sun- section (2) of section 7 of the Contract Labour (Regulation and Abolition)n Act, 1970
and the rules made there under, to

valid fromto

1. Nature of work carried on in the establishment.

2. Nature of work in which contract labour is to be employed.
3. Maximum number of contract labour to be employed on any day.
4. Other particulars relevant to the employment of contract labour.

Signature of Registering Officer

with seal.
 RELEVANT RULES

RULE 20 (1) Any application of the nature referred to in section 22 may be sent to the
Commissioner by registered post or may be presented to him or to any of his subordinates
authorized by him in this behalf and, if so sent or presented, shall, unless the Commissioner
otherwise directs, be made in duplicate in the appropriate Form IX if any, and shall be signed
by the applicant.

(2) There shall be appended to every such application a certificate which shall be
signed by the applicant, to the effect that the statement of acts contained in the
application is to the best of this knowledge and belief accurate.

RULE 21 (1) When the application for relief is based upon a document, the document shall be
appended to the application.
(2) Any other document which any party desires to tender in evidence shall be produced
at or before the first hearing.

(3)Any document which is not produced at or within the time specified in sub- rule (1) or
(2) as the case may be, shall not, without the sanction of Commissioner, be admissible in
evidence on behalf of the party who should have produced it.
(4)Nothing in this rule applies to any document which is produced for purpose of cross-
examining a witness or is handed to a witness to refresh his memory.

RULE 22.(1) If it appears to the Commissioner on receiving application that it should be

presented to another Commissioner he shall return it to the applicant after endorsing upon
it the date of the presentation and return, the reason for returning it and
designation of the Commissioner to whom it should be presented.
(2) If it appears to the Commissioner as any subsequent stage that an application should
have been presented to another Commissioner he shall sent the application to the
Commissioner empowered to deal with it and shall inform the applicant (and the
opposite party, if he has received a copy of the application under rule 26), accordingly.
(3) The Commissioner to whom an application is transferred under sub-rule (2) may
continue the proceedings as if the previous proceedings or any part of them had been
taken before him, if he is satisfied thatthe interests of the parties will not thereby be
prejudiced.

RULE 23. (1) On receiving an application of the nature referred to in section 22, the
Commissioner may examine the applicant- on oath or may sent the application to any
officer, authorized by the Chief Commissioner in this behalf and direct such
officer to examine the applicant and his witnesses and forward the record thereof the
Commissioner.
(2) The substance of any examination made under sub-rule (1) shall be recorded in the
manner provided for the recorded of evidence in section 25.
RULE 24.(1) The Commissioner may, after considering the application and the
result of any examination of the applicant under rule 23, summarily dismiss the
application if, for reasons to be recorded, he is of opinion that there are no
sufficient grounds for proceeding thereon.
(2) The dismissal of the application under sub-rule(1) shall not of itself
preclude the applicant from presenting a fresh application for the
settlement of the same matter.

RULE 25. If the application is not dismissed under rule 24, the Commissioner may, for
reasons to be recorded, call upon the applicant to produce evidence in support of the
application before calling upon any other party and if upon considering s evidence the
Commissioner is of opinion that there is no case for the relief claimed he may dismiss the
application with a brief statement of his reasons for so doing.

RULE 26. If the Commissioner does not dismiss the application under rule 24 or rule
25, he shall send to the party from whom the applicant claims relief (hereinafter referred to
as the opposite party) a copy of the application. together with a notice of the date on which
he will dispose of the application, and may call upon the produce on that date any evidence
which they may wish to tender.

RULE 27(1) The opposite party may, and if so required by the commissioner, shall at the first
hearing or within such time as the Commissioner may permit file a written statement dealing with
the claim raised in the application, any such written statement shall form part of the record.
(2) If the opposite party contests the claim, the Commissioner may, and if no written statement
has been filed, shall proceed to examine him upon the claim and shall reduce the result of
examination to writing.

RULE 28. (1) After considering any written statement and the result of any examination
of the parties, the commissioner shall ascertain upon what material propositions of fact or
law the parties are at variance and shall thereupon proceed to frame and record the issues
upon which the right decision of the case appears to him to depend.
(2) In recording the issues, the Commissioner shall distinguish between
those issues which in his opinion concern points of facts and those which concern points of
law.

RULE 29. When issues both of law and of fact arise in the same case, and the
Commissioner is of opinion that the case may be disposed of on the issues of law only, he
may try those issues first, and for that purpose may, if he thinks fit postpone the settlement
of the issues of fact until after the issues of law have been determined.

RULE 30. The Commissioner shall maintain under his hand a brief diary of the
proceedings on an application.

RULE 31. If the Commissioner finds it impossible to dispose of an application at one

hearing he shall record the reasons which necessitate a postponement.
RULE 32. (1) The Commissioner in passing orders, shall record concisely in a
judgment his finding in each of the issues framed and his reasons for such findings.
(2) The Commissioner at the time of signing and taking his judgment shall pronounce his
decision and thereafter no addition or alteration shall be made to the judgment other than
the corrections of a clerical or arithmetical mistake arising from any accidental slip or
omission.

RULE 33. If an application is presented by any party to the proceedings for the citation
of witnesses, the Commissioner shall on payment of the prescribed expenses and fees,
issue summonses for the appearance of such witnesses, unless he considers that their
appearance in not necessary for the just decision of the case.

RULE 34. If the Commissioner is satisfied that the applicant is unable by reason of
poverty , to pay the prescribed fees, he may remit any or all of such fees. If the case is
decided in favor of the applicant, the prescribed fees. Which had they not been remitted
would have been due to be paid, may be added to the costs of the case and recovered in
such manner as the Commissioner in hid order regarding costs may direct.
 FORM IX

(See rule 20)

APPLICATION FOR COMPENSATION BY WORKMAN

To the Commissioner Workmens Compensation

residing at .applicant.

VERSUS

.residing at opposite party.

It is hereby submitted that-

(1) The applicant, a workman employed by (a contractor with) the opposite party on the ..
day of .. 19 received personal injury by accident arising out of and in the
course of his employment.

The cause of the injury was (here insert briefly in ordinary language the cause of the injury)
.

(2) the applicant sustained the following injuries namely :-

. . . . .

(3) The monthly wages of the applicant amount to Rs the applicant is over/under the
age 15 years.

*(4) (a) Notice of the accident was served on the day of 19

(b) Notice was served as soon as practicable.
(c) Notice of the accident was not served (in due time) by reason of ..
(4) the applicant is accordingly entitled to receive
(a) half monthly payment of Rs. form the day of .. ..19to

(b) A lumpsum payment of Rs .. .. .. .. ..
(5) The applicant has taken the following steps to secure a settlement by agreement, namely
. . . . . . . . . . .
but it has proved impossible to settle the questions in dispute because . .. ..
.. .. .. .. .. .. .. . .. ..

*You are therefore requested to determine the following questions in dispute, namely:-

(a) Whether the applicant is a workman within the meaning of the Act;
(b) Whether the accident arose out of or in the cause of the applicants employment;
(c) Whether the amount of compensation claimed is due or any pant of that amount;
(d) Whether the opposite party is liable to pay such compensation as is due;
 (e) etc (as required).

Dated .. 19 .. . . . . applicant.

*Strike out the clauses which are not applicable