1984 Ed.]

Labour Tribunal (Forms) Rules

[CAP. 25

C 15

[Subsidiary]

FORM 13

[s. 31(4).]

表格第十三款

(條例第三一條第(四)款)

LABOUR TRIBUNAL ORDINANCE

(Chapter 25)

勞資審裁處條例(香港法例第二五章)

APPLICATION FOR REVIEW OF AN *AWARD/ORDER

BY A PARTY

當事人請求將*裁決/命令覆審申請書

To

審裁處專員:

1. (a)

本人(甲)

{title as in Form 1]

(標題部份如表格第一款所示)

PRESIDING OFFICER,

,乃本聲請案當事人之一,該案

which was heard and determined before you on the

已由鈞長於一九 年 月 日

of 19........., being dissatisfied with the *award/order

聆訊及決斷,惟本人對鈞長所作之

*裁決/命令感到不滿,茲根據勞審處條例第三一條第(二)款(乙)段謹請

made by you in respect of this claim, hereby, pursuant to section 31(2)(b) of the

鈞長將該項*裁決/命令覆審。

Labour Tribunal Ordinance, make application to you to review the *award/order.

(b)

Dated this

(2)

日期:一九 年 月 日

day of

19.........

[1

* Delete whichever is not applicable.

* 請將不適用者刪去

£

(Signature of Applicant).

(申請人簽署)

(a)

Note:

Insert full name of the party making application.

注: (甲) 填寫提出申請之當事人全名。

(b)

An application for a review of an award or order must be made within 7 days of the award or order.

(乙) 請求將裁決或命令覆審之申請書必須於裁決或命令作出後之七天內提出。

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