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Leave Form Blank v2

The Leave Application Form is designed for employees to request various types of leave, including annual, sick, unpaid, and maternity leave. Employees must accurately count working days, excluding weekends and public holidays, and acknowledge their responsibility regarding leave taken in advance. The form requires signatures from both the employee and their supervisor or manager for authorization.

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mogorosigontse
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3 views

Leave Form Blank v2

The Leave Application Form is designed for employees to request various types of leave, including annual, sick, unpaid, and maternity leave. Employees must accurately count working days, excluding weekends and public holidays, and acknowledge their responsibility regarding leave taken in advance. The form requires signatures from both the employee and their supervisor or manager for authorization.

Uploaded by

mogorosigontse
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Leave Application Form

Name & Surname: Department:

Contact No whilst on leave: Emp no:

NOTE: Please ensure that the 'number of working days' are counted correctly from the first working day of your
leave to the last working day of your leave. EXCLUDING Saturdays, Sundays and Public Holidays!

No Of Working
Type First Working Day of Leave Last Working Day of Leave
Days

Annual Leave

Sick Leave

Unpaid Leave
Family Responsibility /
Paternity Leave
Maternity Leave

Other

Long Service

I undertake to refund to the Company on demand, monies received by me for leave taken in advance should I leave their employment
before such leave has been fully earned.

I , the undersigned, furthermore acknowledge that I will abide by the leave policy.

Date Employee Signature

AUTHORISATION
I recommend that the above be GRANTED / NOT GRANTED

Supervisor / Manager Signature Print Name Date

Payroll Use Only: Processed

Days Available:

Less Above Days:

Balance Available

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