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SICKNESS /TEMPORARY DISABLEMENT BENEFIT CLAIM FOR BENEFIT   1………………………… s/w/d of ……….Insurance No. …………………. hereby say that I was certified sick/temporarily disabled from ………. a.m./p.m.

REPLY TO COURT BY EMPLOYER   PRESCRIBED APPLICATION BY AN EMPLOYEE UNDER SECTION 20(2) OF THE MINIMUM WAGES ACT 1948 In the Court of Authority

Reply to Applications under Section 33-C [2] of The Industrial Dispute Act 1947.    BEFORE THE HON’BLE COURT OF …………… AT   Application No:______ of