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Application Form For Leave

This document is an application for leave that asks the applicant to confirm the new leave conditions apply to them. It requests information such as the applicant's name, contact details while on leave, leave category, number of days, duration and dates. Additional information and signatures of recommendation and approval are also required.

Uploaded by

John Arbrith Isip Esposo
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166 views

Application Form For Leave

This document is an application for leave that asks the applicant to confirm the new leave conditions apply to them. It requests information such as the applicant's name, contact details while on leave, leave category, number of days, duration and dates. Additional information and signatures of recommendation and approval are also required.

Uploaded by

John Arbrith Isip Esposo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Do you confirm that the new leave

conditions are applicable to you?


Yes / NO
APPLICATION FOR LEAVE
(Delete the non-applicable.) (New leave conditions)

UT-NUMBER: ............................. TITLE, INITIALS AND SURNAME: ....................................................

RANK: ................................................ DEPT./INST./DIV.: ................................................ TEL.: ................


LEAVE CATEGORY NUMBER OF DURATION (all CONTACT DETAILS WHILE
DAYS/ dates included) ON LEAVE
MONTHS

1. Annual leave1 till Address:

2. Accumulated leave1 till

3. Leave of absence (LOA)1 till

4. Maternity Leave2 till

5. Sick-leave3 till

6. Leave without pay (LWP)3 till

7. Compassionate Leave1 till Tel.:

8. Study Opportunity1 till E-mail:


(1Working days; 2months; 3 calendar days)
For any further information regarding any kind of leave types, see the policy:
http://www.sun.ac.za/hr/english/assets/docs/absence/AB0003-Procedure-Regarding-New-Leave-
Regulations-For-Permanent-Staff.pdf
SUPPLEMENTARY INFORMATION: (use a separate page if necessary)

....................................................................... ....................................
Signature of Applicant Date

RECOMMENDATION: APPROVAL:

............................................................... ................... .............................................. ........................


Departmental Head/ Date Dean Date
Head of Division
Leave Application/MHB Vorms/Verlof (January 2011)

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