C 14

CAP.25]

Labour Tribunal (Forms) Rules

[Subsidiary]

[1984 Ed.

FORM 12

表格第十二款

LABOUR TRIBUNAL ORDINANCE

(Chapter 25)

勞資審裁處條例(香港法例第二五章)

[s.31(2)(b).]

(條例第三一條第(二)款(乙)段)

NOTICE OF REVIEW BY A PRESIDING OFFICER ON THE

APPLICATION OF A PARTY

審裁專員徇當事人所請進行覆審之通知書

[title as in Form 1]

(標題部份如表格第一款所示)

TO ALL PARTIES INTERESTED.

致各當事人;

An Application has been made by

查本聲請案當事人之一,(甲)

(a) a party to this claim, for a review under section 31 of the Labour Tribunal

Ordinance of an "award/order made on the

day of

19............. in respect of this claim.

根據勞資審裁處條例第三一條之規定,申請將一項於一九

日對本案當事人所作之*裁決/命令加以覆審。

TAKE NOTICE that

Presiding Officer,

擬將該項裁決/命令加以覆審,地點為

will review the "award/order at

on the

day of

19.

*a.m./p.m.

日期為一九

日 * 上/下午

分,特此通知。

Dated this

day of

19.....

日期:一九

Registrar.

經歷司

L.S.

(加蓋封印處)

(b) This notice was served by me on

(2)

本人已將此通知書送達

*

地點為

at

.on the

day of

19.........

日期為一九

日。

(Signature of recipient of notice).

(接受通知書者簽署)

* Delete whichever is not applicable.

請將不適用者刪去。

Note:

註:

(a)

(Signature of process server)、

【送達文書者簽署)

Insert full name of the party by whom the application has been made. (甲) 填寫提出申請之當事人全名。

(b)

Service shall be effected in the manner prescribed under the Labour Tribunal (General) Rules.

(C) 本通知書應依照勞資審裁處(一般事項)規則所規定之方式送達。

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