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Leave Application Form

This document is a leave application form containing the applicant's personal details and a section to provide details of the type of leave required, including leave categories, dates, number of days, and relevant remarks or additional documentation. It requires approval from the applicant's manager or supervisor according to their delegation authority, as well as approval from additional personnel for certain leave types such as contingency, unpaid, maternity, adoption, or trade union leave. The applicant must sign to apply for the requested leave.

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jonathanelaine
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913 views1 page

Leave Application Form

This document is a leave application form containing the applicant's personal details and a section to provide details of the type of leave required, including leave categories, dates, number of days, and relevant remarks or additional documentation. It requires approval from the applicant's manager or supervisor according to their delegation authority, as well as approval from additional personnel for certain leave types such as contingency, unpaid, maternity, adoption, or trade union leave. The applicant must sign to apply for the requested leave.

Uploaded by

jonathanelaine
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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ETHR-011

LEAVE APPLICATION FORM


REF 00
PERSONAL DETAILS
Surname Initials Unique Number
Designation Tel No Date Appointed
Department BU No Shift Worker Yes No
Intervening weekends to be counted as leave (except TOIL). Public Holidays to be excluded.
DETAILS OF LEAVE REQUIRED
Leave Categories From To
Day
s
Ref: EE
COS
Remarks
Annual Leave A01 Section 5.1 Compulsory 21 Days
Occasional Leave B01 Section 5.2 Accumulative
Sick Leave C01 Section 5.3 Medical Certificate in excess of 3 days
Accident Leave Section 5.4 Occupational/Non-Occupational
Study Leave E44 Section Compulsory Study School/Further Studies
Examination Leave E12 Section 5.5 Attach Proof roster/results
Contingency Leave Section 5.6
Attach Proof death/birth certificate or doctors
letter. State relationship to deceased under
additional details.
Unpaid Leave Section 5.7 Indicate Reason
Maternity Leave Section 5.12 Attach Agreement Form
Adoption Leave Section 5.13 Attach Agreement Form
Trade Union Leave Section 5.14 Approval by IR Manager/Advisor
Time off in Lieu of Overtime: Days Hours Section 3.8.9 If not full day indicate hours
Pay in Lieu of Leave Number of days Section 5.2.3 Minimum 7 Days
Payment of Salary in Advance Date
Che
que Bank Minimum Leave Period 12 Days
ADDITIONAL DETAILS

I HEREBY APPLY FOR LEAVE AS INDICATED ABOVE



Name (Print) Signature Date
APPROVED BY MANAGER / SUPERVISOR (As per delegation authority)




Name (Print) Signature Unique Number Designation / Grade Date
CONTIGENCY, UNPAID, MATERNITY, ADOPTION, TRADE UNION LEAVE APPROVED
E BAND


NAME (Print) SIGNATURE DATE

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