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Fill online: Memorandum of settlement in the course of bipartite negotiation, with the forwarding letter

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Name of the employer (1)

Appears later in the document.

Name of the negotiating union or council (1)

Appears later in the document.

Name of employer representative 1 (1)

Appears later in the document.

Designation of employer representative 1 (1)

Appears later in the document.

Name of worker representative 1 (1)

Appears later in the document.

Office held by worker representative 1 (1)

Name of employer representative 2 (1)

Designation of employer representative 2 (1)

Name of worker representative 2 (1)

Office held by worker representative 2 (1)

Name of employer representative 3 (1)

Designation of employer representative 3 (1)

Name of worker representative 3 (1)

Office held by worker representative 3 (1)

Name of worker representative 4 (1)

Office held by worker representative 4 (1)

Name of worker representative 5 (1)

Office held by worker representative 5 (1)

Name of the establishment or unit

Address of the establishment

Name of the negotiating union or council (2)

Registration number of the union

Recognised as the sole negotiating union / being the negotiating council constituted

Date of recognition

Date of the charter of demands

Date of the previous settlement

Date of the notice terminating the previous settlement

Brief list of the principal demands, such as revision of basic wage and dearness allowance, allowances, leave, medical benefits and transport

Dates of the negotiation meetings

Date of the strike notice

Categories of workers covered

Effective date of the settlement

End date of the settlement

Period of the settlement in years

Grade 1

Existing scale, grade 1

Fitment, grade 1

Revised scale, grade 1

Increment, grade 1

Grade 2

Existing scale, grade 2

Fitment, grade 2

Revised scale, grade 2

Increment, grade 2

Grade 3

Existing scale, grade 3

Fitment, grade 3

Revised scale, grade 3

Increment, grade 3

Grade 4

Existing scale, grade 4

Fitment, grade 4

Revised scale, grade 4

Increment, grade 4

DA rate per point

CPI base year

Base index for DA

Half-yearly / quarterly

Dates of DA revision

Six / three

Existing HRA

Revised HRA

Conditions for HRA

Existing conveyance

Revised conveyance

Conditions for conveyance

Existing shift allowance

Revised shift allowance

Other allowance

Existing other allowance

Revised other allowance

Conditions for other allowance

Number of instalments

Date of payment of arrears

Months in which later instalments are paid, or "Not applicable"

Days to claim arrears after leaving

Set out any agreed change to leave, holidays, medical benefit, canteen, uniform or transport, clause by clause, or state "No change".

Productivity measures agreed, such as revised work norms, multi-skilling or new equipment, as set out in Annexure 1

Ex gratia amount

Accounting year for ex gratia

Date of payment of ex gratia

Days to apply for disposal of pending disputes

List each dispute with the authority and case number, or state "None"

Number of members from each side

Monthly

Number of months the committee meets monthly

Days to forward the settlement

Regional language

Place of signing

Date of signing of the settlement

Name of employer representative 1 (2)

Designation of employer representative 1 (2)

Name of employer representative 2 (2)

Designation of employer representative 2 (2)

Name of employer representative 3 (2)

Designation of employer representative 3 (2)

Name of worker representative 1 (2)

Office held by worker representative 1 (2)

Name of worker representative 2 (2)

Office held by worker representative 2 (2)

Name of worker representative 3 (2)

Office held by worker representative 3 (2)

Name of worker representative 4 (2)

Office held by worker representative 4 (2)

Name of worker representative 5 (2)

Office held by worker representative 5 (2)

Name and address of witness 1

Name and address of witness 2

Name of the President of the union

Name of the Secretary of the union

Secretary / General Secretary

Name of the authorised office-bearer

Office held by the authorised office-bearer

Name of the employer (2)

Date of the union authorisation

Date of the workers' meeting

Place of the workers' meeting

Number of workers present at the meeting

Number of workers on the muster roll

Name of authorised worker 1

Worker number 1

Department 1

Proposer 1

Seconder 1

Name of authorised worker 2

Worker number 2

Department 2

Proposer 2

Seconder 2

Name of authorised worker 3

Worker number 3

Department 3

Proposer 3

Seconder 3

Name of authorised worker 4

Worker number 4

Department 4

Proposer 4

Seconder 4

Name of authorised worker 5

Worker number 5

Department 5

Proposer 5

Seconder 5

Name of the chairperson of the workers' meeting

Date of the forwarding letter

Office and jurisdiction of the Deputy Chief Labour Commissioner

Designation and office of the conciliation officer

E-mail / speed post

Nature of the industry carried on

Number of workers covered by the settlement

Pending disputes withdrawn, or "None"

Conciliation case number

Date sent to the Deputy Chief Labour Commissioner

Proof of delivery, Deputy Chief Labour Commissioner

Date sent to the conciliation officer

Proof of delivery, conciliation officer

Date of display of the settlement

Photograph reference, settlement display

Name of the worker

Worker number of the accepting worker

Designation and department of the accepting worker

Language in which the settlement was explained

Date of the individual acceptance

Four parts: the memorandum of settlement (content of Form I), the authority of the workers' signatories, the joint forwarding letter, and the individual acceptance

When a bipartite agreement is a "settlement". A written agreement reached otherwise than in conciliation is a settlement under section 2(zi) only if it is signed in the prescribed manner and a copy is sent to the officer authorised by the appropriate Government and to the conciliation officer. Under rule 4 of the Industrial Relations (Central) Rules 2026 it is recorded in Form I (or another format the parties agree), signed by the persons in rule 4(2), and a copy is sent jointly by the parties, electronically or by speed post, to the Deputy Chief Labour Commissioner (Central) concerned and to the conciliation officer (rule 4(5)). The rule fixes no time; send it within a week of signing. In the State sphere, send it to the officer named in the State rules.

Whom it binds (section 57). A settlement reached by agreement outside conciliation binds only the parties to the agreement. A settlement reached in conciliation binds all workers of the establishment, present and future. If the employer needs the terms to bind workers who are not members of the signatory union, either sign the same terms before the conciliation officer, or take individual acceptances in Part D.

How long it lasts (section 58). It operates from the date agreed or, if none, the date of signing; for the period agreed or, if none, six months; and then continues until sixty days after either party gives written notice of intention to terminate. A termination notice has no effect unless given by a party representing the majority of persons bound. While it is in operation, no strike or lock-out is permitted on the matters it covers (section 62(1)(g)).

PART A: MEMORANDUM OF SETTLEMENT
Content of Form I, Industrial Relations (Central) Rules 2026
Memorandum of settlement arrived at otherwise than in the course of conciliation proceedings, under section 2(zi) of the Industrial Relations Code 2020

Names of the parties

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