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RECORD NO. |
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APPLICATION FOR LEAVE |
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Surname & Initials |
Emp. No. |
Division |
Cost Code |
Date |
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| To:
HUMAN RESOURCES DEPARTMENT |
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| PLEASE READ THE FOLLOWING
CAREFULLY BEFORE COMPLETING FORM |
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| 1. |
Once this leave
application has been approved, the leave is regarded as official. |
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| 2. |
In
the event of date/s change only, it is the sole
responsibility of the applicant to re-submit a leave application |
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showing
the corrected dates and also indicating in the cancellation column that the
previous date/s is/are cancelled. |
| 3. |
In
the event of entire leave cancelled, re-submit an
application form indicating in the cancellation column the |
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previous dates submitted
and now cancelled. |
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| 4. |
The
applicant must notify the finance departmentl within 7 days of application of
any change of leave dates. |
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If this is not done,
adjustment cannot be made. |
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| 5. |
Sick
leave applications must be accompanied by a doctor's certificate if they are in excess of two days, or if
absent |
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on Monday or Friday, or
if absent the day before or after a public holiday. |
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| Type of leave |
Leave |
Current Leave |
Dates Inclusive |
Leave
Applied For |
Leave Balance |
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Code |
Entitlement |
From |
To |
(Working days) |
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| Annual |
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| Sick (Doctors Certificate) |
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| Study |
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| Unpaid |
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| Other/Paternity |
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| Compassionate |
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| Maternity |
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| Cancellation |
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| Address
and Telephone Number while on leave |
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Employee
Signature ………………………………….. |
| Approved
by: |
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Recorded on leave record |
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| ………………………………………………………….. |
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| DIVISIONAL
MANAGER |
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| Remarks |
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| MOMENTUM
IT trading as IOCORE Global Resourcing SA |
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| Registered
Number: 3646268 |
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| Vat
number: 709 3289 19 |
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