| State name of complainant, or where there is more than one complainant, the name of the representative complainant, adding the words “and others”. |
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| | ………………………………………………………………….... |
| ………………………………………………………………..….. |
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| State nature of claim or dispute |
| | Claim for ………………………….………………………..……. |
| ………………………………………………………….……..….. |
| ……………………………………………………………………. |
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| State date or dates of the hearing of the complainant |
| This dispute having been enquired into and decided on ……..…. ……………... by …………………………………………..…….. Commissioner for Labour, it is ordered ……….………………… ……………………………………………………………..…….. |
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| | | Dated this………….. day of………… 20..… |
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.………………………… Commissioner for Labour, Singapore. |
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| State no or partial satisfaction, as the case may be, and, if partial satisfaction, state to what extent |
| It is hereby certified that ………………………………………of this order has been made in this office. |
.………………………… Commissioner for Labour, Singapore. |
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