FORM-H MEMORANDUM OF SETTLEMENT (RITLE 58) No. /LO(C)/AIL12003 Memorandum of Settlement under Section 12(3) of the Industrial Disputes Act, 1947 reached before the Labour Offier (Conciliation) / Conciliation Officer, Pondicherry between the Management of M/s._________________ and their workman/workmen/Union PRESENT: THIRU /`TMT. LABOUR OFFICER(CONCILIATION) PARTIES TO THE DISPUTE : REPRESENTING THE MANAGEMENT: REPRESENTING THE WORKMAN : No.of Beneficiary : SHORT RECITAL OF THE CASE TERMS OF SETTLEMENT DATED AT PONDICHERRY ON THIS________________DAY OF____________ REPRESENTING THE M.MAINAGFMYNT ________________ REPRESENTING THE WORKMAN/WORKMEN/UNION. Witnesses: (1) (2 ) BEFORE ME L.XBOLTR OFFICER(COINCILLATION) Copy to: 1. The Commissioner of Labour, Pondicherry. 2. The Secretary to Government(Labour), Pondicherry.