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[接上页] and that the costs of the said .................................................................................................. of and incidental to this application and order be taxed or assessed and paid by the said ............. to the said ............................................................................................................................. Dated this .................. day of .......................... 19 .......... ..................................................... Registrar of the Court ______________ FORM 10 [rule 22] EMPLOYEES' COMPENSATION (RULES OF COURT) RULES Notice by Principal Contractor to Sub-Contractor The ................................................................. Court of ....................................................... Case No. .............................................................................................................................. In the matter of an Application between- .............................................................................................................................., applicant, and.........................................................................................................................., respondent. To (1) ..................................................................................................................................... ..................................................................................................................................... Notice is hereby given to you that an application/a claim for compensation is made against (2) ...................................................................................................................................... by(3) ................................................................................................................. who alleges that the said (4) .............................................................................................................. is liable to pay him compensation in respect of an accident which occurred at (5) ........................................ on the ............................. day of ........................ 19 ........... Dated this .......... day of .................. 19 ..... (6) ........................................................................ ......................................................................... .........................................................................______________________________________________________________________ (1) Name and address of the sub-contractor. (2) Name and address of principle contractor. (3) Name and address of employee. (4) Name of principal contractor. (5) Place of accident. (6) Signature and address of person giving the notice. ______________ FORM 11 [rule 22] EMPLOYEES' COMPENSATION (RULES OF COURT) RULES Notice of Intervention by Sub-Contractor The ................................................................. Court of ....................................................... Case No. .............................................................................................................................. In the matter of an Application between- .............................................................................................................................., applicant, and.........................................................................................................................., respondent. To the Registrar of the Court and to the (applicant) and the (principal contractor). Notice is hereby given by (1) ..................................................................................... that he intervenes in this application for compensation made by (2) .................................................... against (3) .............................................................................................................................. The address for service of the said (4) .............................................................................. is .......................................................................................................................................... ............................................................................................................................................. ............................................................................................................................................. Dated this .................. day of .......................... 19 ......... (5) ........................................................................ ......................................................................... .........................................................................______________________________________________________________________ (1) Name and address of the sub-contractor. (2) Name of employee. (3) Name of principal contractor. (4) Name of the sub-contractor. (5) Signature and address of the person giving the notice. ____________ FORM 12 [rule 7] EMPLOYEES' COMPENSATION (RULES OF COURT) RULES Application Record Book The ................................................................. Court of ....................................................... No. of application Date application lodged Nature of application Names and address of parties and of their respective Counsel of Solicitors Date application served Date answer received Hearing Remarks Date Order made Applicant Respondent |