BEFORE THE ASSISTANT LABOUR COMMISSIONERCENTRAL), SHIVAM ROAD, , .

I.A.NO OF 2019 IN P.G.NO. OF 2019 BETWEEN :

…PETITIONER

AND 1.

2.

3.

…OPPOSITE PARTITIES

AFFIDAVIT

I, ______, S/O ______, aged______years, Resident of (Full Address) ______do hereby solemnly affirm and sincerely state asunder :

1.I am the petitioner herein and as such well acquainted with the facts of the case.

2. It is submitted that I joined in the service of earst while STATE BANK OF HYDERABAD and upon merger with effect from 01-04-1017 become STATE BANK OF on______as ______. Subsequently I was promoted to various grades and last such as ______with effect from ______and I worked at various places in the respondent Bank and retired from the Bank service on ______on attaining the age of Superannuation / VRS/ Others (specify) . Since the date of my appointment, I have discharged my duties to the satisfaction of my superiors.

3. it is submitted that I rendered ______years ______months ______days of service in the respondent Bank and that I am entitled to gratuity to the service rendered by me as per Section 4 of the Payment of Gratuity Act, 1972.

4. It is submitted that I have filed a detailed calculation sheet along with this application with regard to entitlement of my gratuity amount.

5. It is submitted that, as against the eligible amount of Rs. ______(Rupees ______only) I have been paid an amount of Rs ______Rupees ______only) as Gratuity by the Bankby excluding certain component of salary while calculating Gratuity. I have made a representation to the Respondent Bank on ______against their acknowledgement and also sent reminder on ______with a request for payment of difference amount of Gratuity by including all the components of the salary as per Payment of Gratuity Rules-1972. But till date the Respondent Bank has not taken any steps foe considering my request for payment of difference amount of gratuity,

6. It is submitted that, I furnished the necessary particulars in the Annexure hereto and prays that the Controlling Authority may be pleased to determine the amount of gratuity payable to me and direct the Respondent Bank.

7. It is prayed that the Hon’ble Court may be pleased to condone the delay of ______days in filing the Gratuity application and pass such order or orders as the Hon’ble Court deem fit and proper in the interest of Justice otherwise I will be put to serious and irreparable loss.

Solemnly affirmed and state and The Deponent signed on this the ------Day of ______2019. DEPONENT

VERIFICATION

I, ______, S/O ______, aged______years, Resident of (Full Address) ______do hereby state that the contents in the above paras are true an correct to the best of knowledge and belief. Verified on this the ___ day ______2019 at ______.

DEPONENT

BEFORE THE ASSISTANT LABOUR COMMISSIONERCENTRAL), SHIVAM ROAD, VIDYANAGAR, HYDERABAD.

I.A.NO OF 2019 IN P.G.NO. OF 2019 BETWEEN :

…PETITIONER

AND 1.

2.

3.

…OPPOSITE PARTITIES

PETITION FILED UNDER SECTION 5 OF THE PAYMENT GRATUITY ACT-1972

For the reasons stated in the accompanying affidavit, it is therefore prayed that the Hon’ble Court may be pleased to condone the delay ______days of filing the gratuity application and pass such order or orders as the Hon’ble Court may deem fit and proper in the interest of Justice.

Place : Date : APPLICANT