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1 - Counselling Session Form

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0% found this document useful (0 votes)
17 views

1 - Counselling Session Form

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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COUNSELLING SESSION

Issued to: ……… …………………………………………………. Date: ……………………………

Department: ……………………………………………………….. Empl. No: ………………………

OFFENCE COMMITTED

……………………………………………………………………………………………………………………………….….

…………………………………………………………………………………………………………………………………..
…………………………………………………………………………………………………………………………………..

(Record Employees reason for offence committed on reverse side of this form)
CORRECTIVE ACTION REQUIRED

…………………………………………………………………………………………………………………………………..

…………………………………………………………………………………………………………………………………..

…………………………………………………………………………………………………………………………………..

…………………………………………………………………………………………………………………………………..

…………………………………………………………………………………………………………………………………..

DATE BY WHICH THE ABOVE IS TO BE RECTIFIED : ….……………………………………………….……………

Should you commit the same offence within the next 6 months, further disciplinary action will be taken against
you. Your personnel records reflect that you have …………….. current warnings on your file.

Issued by: ………………………………. Signature:……………………………….. ………………………………...


DATE
I, …………………………………………………………………………. Have been explained the above contents and
hereby acknowledge that I understand and accept this warning.

…………………………………………………. ………………………………...
EMPLOYEE DATE

Refusal to sign:

The employee refuses to sign acknowledgement of this warning.

Witness: ……………………………………………………………. Date: ………………………….

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