FORM 2

IN THE LABOUR COURT OF SOUTH AFRICA

HELD AT JOHANNESBURG
Case number: ___________

In the matter between:

_____________________________________________________ APPLICANT

_____________________________________________________ 2ND APPLICANT (if any)

_____________________________________________________ 3RD APPLICANT (if any)

and

_____________________________________________________ RESPONDENT

___________________________________________________ 2ND RESPONDENT (if any)

____________________________________________________3RD RESPONDENT (if any)

STATEMENT OF CASE

1. PLEASE TAKE NOTICE THA the Applicant(s) will accept notices and
service of all documents and pleading in this matter at the following
address:

________________________________________

________________________________________

________________________________________

________________________________________

________________________________________

Tel:_____________________________________

Fax:____________________________________

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2. PLEASE TAKE FURTHER NOTICE THAT if the Respondent(s) intend(s)
opposing this matter, the response must be served upon the
Applicant(s) at the address provided in paragraph1 above within 10
working days of the service of this Statement of Case in terms of rule
6(3) of The Rules of Labour Court, failing which the matter may be
heard and order made in absence of that party(s).

3. THE APPLICANT(S) (Please state their names, gender, occupation if any

and their addresses)

3.1 The 1st Applicant is ______________________________________________

_____________________________________________________________________
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3.2 The 2nd Applicant is ______________________________________________

_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

3.3 The 3rd Applicant is _______________________________________________

_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

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4. THE RESPONDENT(S) (Please state their names, gender, occupation if
any and their addresses)

4.1 The 1st Respondent is _____________________________________________

_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

4.2 The 2nd Respondent is ____________________________________________

_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

4.3 The 3rd Respondent is ____________________________________________

_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

5. The facts that will be relied upon to establish the Claim

_____________________________________________________________________
_____________________________________________________________________
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_____________________________________________________________________
_____________________________________________________________________

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In this paragraph clear and concise statement of the material facts in their
chronological order on which the applicant(s) rely upon. The statement must
be sufficiently particular to enable the opposing party to reply.

6. The legal issues that arise from the above facts

_____________________________________________________________________
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In short, numbered paragraph, clearly and briefly state the legal principles
that are relevant to the success or failure of the claim of that is being made in
this statement of case. In particular, identify those specific sections of the

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Labour Relations Act as amended that are applicable to the claim and
briefly sate why they are applicable in this matter. If the facts of the matter
support alternative claims the legal principles governing any alternative
claims should also be stated in the same way, clearly indicating that it is an
alternative claim. An alternative claim cannot be advanced if it depends on
a different set of facts from those detailed in paragraph 5 of this statement.

7. The Relief Sought

7.1__________________________________________________________________

7.2__________________________________________________________________

7.3__________________________________________________________________

7.4__________________________________________________________________

8. Schedule of documents in support of the Claim, if any. Attached

hereto is the schedule of documents, marked annexures:
_____________________________________________________________________
_______________________________ which are material and relevant to the
issues.

DONE AND DATED AT BRAAMFONTEIN ON THIS THE ___ DAY OF _________ 20___

______________________________________
Applicant or Authorised Representative

______________________________________
Surname and Initials