C 12
CAP.25 |
Labour Tribunal (Forms) Rules
[Subsidiary]
[1984 Ed.
FORM 10
表格第十款
Labour TRIBUNAL ORDINANCE
(Chapter 25)
勞資審裁處條例 (香港法例第二五章)
CERTIFICATE OF SETTLEMENT
協議證明書
{title as in Form []
[s. 15(7).]
(條例第十五條第(七)款)
We, (a)
(標題部份如表格第一款所示)
余等 (甲)
parties to this claim, hereby agree to a settlement of this claim on the following
乃此宗聲請案之當事人，茲按照下開條件達成協議:
terms:
(b)
(2)
The above agreement has been interpreted to us in the
上述協議之內容已由傳譯者用
dialect and understood by us.
語向余等傳譯，余等已完全明白其一切內容。
Dated this ... day of ... 19.........
日期: ... 年
#
H
Before me.
此項協議乃在本人面前簽証,
Authorized Officer.
(丙)
(C)
(Signature of Claimant(s)).
(聲請人簽署)
(Signature of Defendant(s)).
(答辯人簽署)
受權人員
Filed this ... day of ...
存案日期: ... 年 ... 月 ... 日
19.....
Registrar.
經歷司
L.S.
(加蓋封印處)
Note:
註:
(甲)
(b)
Insert full names of those parties who agree to the settlement. 填寫達成協議之各當事人全名
Set out in full the conditions on which the settlement is agreed.
(乙)
詳列達成協議之條件
(C)
寇
This certificate must be signed by all parties who agree to the settlement.
(丙) 本證明書必須由達成協議之各當事人簽署。