1964_EMPLOYEES__COMPENSATION_(RULES_OF_COURT)_RULES — Page 12

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B 12

CAP.282]

Employees' Compensation (Rules of Court) Rules

[1983 Ed.

[Subsidiary]

L.N.227/83.

(七)尙按照該條例第十條之規定而聲稱其本人業已暫時喪失工作能力,則申請人在此段暫時喪失工作能力期間,每月賺取之收入(如有)或有能力賺取之收入(如知悉)爲,

(八)聲請賠償額..

(九)將該宗意外事件通知答辯人之日期,

(十)如並未通知答辯人,講述明未予通知之理由。

申請人或其代表律師之姓名及地址-

申請人......

其代表律師.....

本申請書應予送達之(各)答辯人姓名及地址....

一九

請將不適用者刪去。

申請人/代表申請人之律師

FORM 2

[rule 16.]

EMPLOYEES' COMPENSATION (RULES OF COURT) RULES

The

Application on behalf of Dependants of Deceased Employee in respect of Compensation Payable where death has resulted from injury to the Employee

Case No.

In the matter of an Application between-

Court of

and

applicant,

respondent.

19......, personal injury

1. (a) On the

was caused to

day of

causing death by accident arising out of and in the course of employment by the respondent/*1st respondent.

deceased, an employee employed

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B 12 CAP.282] Employees' Compensation (Rules of Court) Rules [1983 Ed. [Subsidiary] L.N.227/83. (七)尙按照該條例第十條之規定而聲稱其本人業已暫時喪失工作能力,則申請人在此段暫時喪失工作能力期間,每月賺取之收入(如有)或有能力賺取之收入(如知悉)爲, (八)聲請賠償額.. (九)將該宗意外事件通知答辯人之日期, (十)如並未通知答辯人,講述明未予通知之理由。 申請人或其代表律師之姓名及地址- 申請人...... 其代表律師..... 本申請書應予送達之(各)答辯人姓名及地址.... 一九 請將不適用者刪去。 申請人/代表申請人之律師 FORM 2 [rule 16.] EMPLOYEES' COMPENSATION (RULES OF COURT) RULES The Application on behalf of Dependants of Deceased Employee in respect of Compensation Payable where death has resulted from injury to the Employee Case No. In the matter of an Application between- Court of and applicant, respondent. 19......, personal injury 1. (a) On the was caused to day of causing death by accident arising out of and in the course of employment by the respondent/*1st respondent. deceased, an employee employed
Baseline (Original)
B 12 CAP.282] Employees' Compensation (Rules of Court) Rules [1983 Ed. [Subsidiary] L.N.227/83. (七)尙按照該條例第十條之規定而聲稱其本人業已暫時喪失工作能力,則 申請人在此段暫時喪失工作能力期間,每月賺取之收入(如有)或有 能力賺取之收入(如知悉)爲, (八)聲請賠償額.. (九)將該宗意外事件通知答辯人之日期, (十)如並未通知答辯人,講述明未予通知之理由。 申請人或其代表律師之姓名及地址- 申請人...... 其代表律師..... 本申請書應子送達之(各答辯人姓名及地址.... 一九 請將不適用者刪去。 申請人/代表申請人之律師 FORM 2 [rule 16.] EMPLOYEES' COMPENSATION (RULES OF COURT) RULES The Application on behalf of Dependants of Deceased Employee in respect of Compensation Payable where death has resulted from injury to the Employee Case No. In the matter of an Application between- Court of and applicant, respondent. 19......,personal injury 1. (a) On the was caused to day of causing death by accident arising out of and in the course of employment by the respondent/*1st respondent. deceased, an employee employed
2026-05-04 16:01:56 · Baseline
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B 12

CAP.282]

Employees' Compensation (Rules of Court) Rules

[1983 Ed.

[Subsidiary]

L.N.227/83.

(七)尙按照該條例第十條之規定而聲稱其本人業已暫時喪失工作能力,則 申請人在此段暫時喪失工作能力期間,每月賺取之收入(如有)或有

能力賺取之收入(如知悉)爲,

(八)聲請賠償額..

(九)將該宗意外事件通知答辯人之日期,

(十)如並未通知答辯人,講述明未予通知之理由。

申請人或其代表律師之姓名及地址-

申請人......

其代表律師.....

本申請書應子送達之(各答辯人姓名及地址....

一九

請將不適用者刪去。

申請人/代表申請人之律師

FORM 2

[rule 16.]

EMPLOYEES' COMPENSATION (RULES OF COURT) RULES

The

Application on behalf of Dependants of Deceased Employee in respect of Compensation Payable where death has resulted from injury to the Employee

Case No.

In the matter of an Application between-

Court of

and

applicant,

respondent.

19......,personal injury

1. (a) On the

was caused to

day of

causing death by accident arising out of and in the course of employment

by the respondent/*1st respondent.

deceased, an employee employed

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