PART A REFERRING A DISPUTE TO THE BARGAINING COUNCIL FOR THE FOOD RETAIL, RESTAURANT, CATERING AND ALLIED TRADES FOR CONCILIATION (INCLUDING CON-ARB)

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PART A REFERRING A DISPUTE TO THE BARGAINING COUNCIL FOR THE FOOD RETAIL, RESTAURANT, CATERING AND ALLIED TRADES FOR CONCILIATION (INCLUDING CON-ARB) READ THIS FIRST CONTACT DETAILS WHAT IS THE PURPOSE OF THIS FORM? This form enables a person or organisation to refer a dispute to the Council for conciliation and con-arb. WHO FILLS IN THIS FORM? Employer, employee, union or employers organisation. WHERE DOES THIS FORM GO? The General Secretary of the Bargaining Council WHAT WILL HAPPEN WHEN THIS FORM IS SUBMITTED? When you refer the dispute to the Council, it will appoint a commissioner who must attempt to resolve the dispute within 30 days. OTHER INSTITUTIONS Please note that if you are not covered by this bargaining council, you may have to take the dispute to the CCMA. You may also need to deal with the dispute in terms of a private procedure if one applies. If in doubt contact the Bargaining Council for assistance. FURTHER INSTRUCTIONS A copy of this form must be served on the other party. Proof that a copy of this form has been served on the other party must be supplied by attaching: A copy of a registered slip from the Post Office; A copy of a signed receipt if hand delivered; A signed statement confirming service by the person delivering the form; A copy of a fax confirmation slip; or Any other satisfactory proof of service. PHYSICAL ADDRESS POSTAL ADDRESS 403 MBA Building P.O. Box 1256 527 Stanza Bopape Street Pretoria (Previously Church Street) 0001 Arcadia Pretoria 0083 TEL: 012 341 1504 FAX: 012 341 0722 012 341 1928 cases.food@mweb.co.za (Case Manager/ Head of Inspections) EMAIL: caterc@mweb.co.za WEB SITE: www.bcfood.co.za recep.food@mweb.co.za (Front Desk) COUNCIL IS ACCREDITED TO PERFORM THE FOLLOWING DISPUTE RESOLUTION FUNCTIONS Unfair dismissal disputes Section 191 Unfair labour practice Section 191 Mutual interest disputes Section 64 Interpretation of Collective Agreement disputes Section 24(1) Essential Services disputes Section 74 Disputes about severance pay Section 41 Pre-dismissal arbitrations Section 188A Application of Chapter 2 Section 9

READ THIS FIRST Page 2 of 5 pages 1. DETAILS OF PARTY REFERRING THE DISPUTE As the referring party, are you: An employee An employer A trade union An employer s organization The name of the employee or an employer that is referring the dispute must be filled in (a). If there is more than one employee to the dispute and the referring party is not a trade union, then each employee must supply their personal details and signature on a separate page, which must be attached to this form. These alternate contact details should be of a union official or representative, a relative or a friend. (a) Name of the party if the referring party is an employee or employer Name:....... ID Number: Postal Address:.........Postal Code:. Tel:.Cell:.... Fax:. Email:.. Alternate contact details of employee: Name:.... Postal Address:.......Postal Code:.. Tel:..Cell:... Fax:. Email:.. The name of the trade union or employers organisation that is referring the dispute or assisting a member to refer a dispute must be filled in (b). OTHER PARTIES If more than one party is referring the dispute or if the dispute is referred against more than one party, write down the additional names and particulars on a separate page and attach to this form. (b) Name of the referring party if the referring party is an employer s organisation or trade union, or if the employer s organisation is assisting a member to the dispute Name:....... Postal Address:......Postal Code:.. Tel:....Cell:.. Fax:.. Email:.. 2. DETAILS OF THE OTHER PARTY (PARTY WITH WHOM YOU ARE IN DISPUTE) The other party is: An employee A trade union An employer An employer s organisation Name:..... Postal Address:.....Postal Code:. Tel:..Cell:.. Fax:. Email:.. Please turn over

3. NATURE OF THE DISPUTE Page 3 of 5 pages What is the dispute about (tick only one box)? Unfair dismissal Unfair Labour Practice (Give details) Application of Chapter 2 If the dispute concerns dismissals, also complete Part B (See Page 5) Interpretation/ Application of Collective Agreement Unilateral change to terms and conditions of employment Mutual Interest Essential Services Severance pay S41 BCEA Unfair Labour Practice (probation) Pre-dismissal arbitrations Other (please describe)...... This section must be completed! If necessary write the details on a separate page and attach to this form Summarise the facts of the dispute you are referring:............. 4. DATE DISPUTE AROSE The dispute arose on: (give the date, day, month and year) UNFAIR LABOUR PRACTICE If the dispute(s) concerns an unfair labour practice the dispute must be referred (ie. received by the Council) within 90 days of the act or omission which gave rise to the unfair labour practice. If more than 90 days has elapsed you are required to apply for condonation. The dispute arose where: (give the city/town in which the dispute) If the dispute concerns a dismissal the date inserted here must be the same as that set out in Item 2 of Part B. 5. DETAILS OF DISPUTE PROCEDURES FOLLOWED Have you followed all internal grievance / disciplinary procedures before coming to the Council? YES NO Describe the procedures followed: 6. RESULT OF CONCILIATION What outcome do you require?. Please turn over

7. SECTOR Page 4 of 5 pages Indicate the sector or service in which the dispute arose. Restaurant Fish & Chip Shop Take Away food outlet Tearoom Cafes Catering Trade Roadhouse Other (please describe) 8. INTERPRETATION SERVICES Do you require an interpreter at the conciliation / con-arb? If yes, please indicate for what language: YES NO Parties may, at their own cost, bring interpreters for languages other than the official South African languages. Please indicate this under other. Special features might be the urgency of the matter, the large number of people involved, important legal or labour issues etc. Only fill this in if this is a dispute about unilateral change to terms and conditions of employment. Afrikaans isindebele isizulu isixhosa Sepedi Sesotho Setswana siswati Tshivenda Xitsonga Other (please indicate).. 9. SPECIAL FEATURES / ADDITIONAL INFORMATION Briefly outline any special features / additional information the Council needs to note:...... 10. Dispute about unilateral change to terms and conditions of employment (s64 (4)) I/we require that the employer party not implement unilaterally the proposed changes that led to this dispute for 30 days, or that it restore the terms and conditions of employment that applied before the change. Signed:. (Employee party referring the dispute) The con-arb process involves arbitration being held immediately after the conciliation if the dispute remains unresolved. Only fill this in if you object to the arbitration commencing immediately after conciliation. An objection cannot be made in disputes relating to probation. 11. OBJECTION TO CON-ARB PROCESS I/we object to the arbitration commencing immediately after the conciliation in terms of Section 191(5A)(c). Signed:.. If the employer objects to the arbitration commencing immediately after the conciliation the employer must submit a written notice in terms of Council Rule 16(2) at least 7 days prior to the scheduled date of the conciliation. The employer must attend the conciliation regardless of whether it makes this objection. 12. CONFIRMATION OF ABOVE DETAILS Signature of party referring the dispute:.... Signed at on this. (place) (date)

Page 5 of 5 pages PART B ADDITIONAL FORM FOR DISMISSAL DISPUTES ONLY DATE OF REFERRAL Dismissal disputes must be referred (i.e. received by the Council) within 30 days of dismissal or, if it is a later date, within 30 days of the employer making a final decision to dismiss or to uphold the dismissal. If more than 30 days has elapsed since the date of your dismissal, you are required to apply for condonation. 1. COMMENCEMENT OF EMPLOYMENT When did you start working at the company?.. 2. NOTICE OF DISMISSAL When were you dismissed (date)? How were you informed of your dismissal? In writing Orally Other (please describe). 3. REASON FOR DISMISSAL Why were you dismissed? Misconduct Operational Requirements (Retrenchment) Incapacity Unknown Constructive Other (please describe).. 4. WAS THE DISMISSAL RELATED TO PROBATION Yes NO 5. FAIRNESS/UNFAIRNESS OF DISMISSAL a. Procedural Issues If necessary write the details on a separate page and attach to this form. Was the dismissal procedurally unfair? YES NO If yes, why?. b. Substantive Issues Was the reason for the dismissal unfair? YES NO If yes, why