FORM H
MEMORANDUM OF SETTLEMENT
(Rule 58)

Parties to the settlement
Representing employer (s)
Representing ;workmen (s);
short recital of the case ____________________________________________________
Terms of settlement _______________________________________________________
Signature of the parties ________________________
Witnesses :
(1)
(2)
Signature of Conciliation Officer/Board of Conciliation.
Copy to :
(i) 1[Asstt. Labour Commissioner (Central) of local area ________________]
(ii) Regional Labour Commissioner (Central)
(iii) Chief Labour Commissioner (Central), New Delhi
(iv) The Secretary to the Government of India, Ministry of Labour, New Delhi.
1. In case, where settlements are arrived at between the employer and his workmen otherwise than in the course of conciliation proceedings.