FORM F REPRESENTATION OF PARTIES (Rule 36) Before_________________ (Mention the authority concerned) Ref. No. _________________ Of _________________ _________________ Workmen Versus _________________ Employer In the matter of _________________ I/We hereby authorize Shri/Sarvashree_________________ to represent me/us in the above matter. Date this _________________ day of_________________ Signature of person(s) nominating the representative(s) _______________ Address_________________ Accepted. Signature of representative(s) _________________ Address___________________________________
