FORM NO.8

          (See Rule 10)

Application for unemployment allowance under the E.G.S.

l.Name-

 

2.Address-

 

3.Sex-

 

4.Age-

 

5.Regn.No.

 

6.Dt.of Regn.-

 

7.Dt.on which application for-

  employment was handed over

  and to whom it was handed over.

8.No.of days for which unemployment allowance

  is claimed.

9.Dt.of the beginning of the period for which

   unemployment allowance is claimed.

 

          I........................r/o.................hereby solemnly declare that I was not employed anywhere for the period for which I am claiming unemployment allowance in this application and hereby undertake to refund to Govt. The amount of unemployment allowance received for that period, if it is proved subsequently that I was employed during that period or a portion thereof.

 

 

 Date-                                       Signature/Thumb Impression of applicant.

 

N.B.

i) A copy of the acknowledgement received while handing over the letter for employment should be attached to this application.

ii) In case unemployment allowance is claimed on the ground that the applicant was not absorbed on a work to which he was directed by the Samiti Officer,a copy of the letter issued by Samiti Officer directing him to the work with the endorsement of; the Implementing Officer or his representative regarding his inability to absorb the applicant on the work, should be attached to this application.