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Leave Application Form

The document is a leave application form that employees must submit at least 14 days prior to requested leave. It requires information such as employee name, type of leave requested, dates, manager approval, and includes sections for employee personal information.

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natasha13jones
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53 views3 pages

Leave Application Form

The document is a leave application form that employees must submit at least 14 days prior to requested leave. It requires information such as employee name, type of leave requested, dates, manager approval, and includes sections for employee personal information.

Uploaded by

natasha13jones
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Leave Application Form

Date:

Employee Name: Position:

Reason for requested leave: (please tick appropriate box)

Annual Leave

Unpaid Leave (No prior notice given)

Sick Leave Doctor's Note

Family Responsibility

Reason for Family Responsibility: ___________________________________________________

___________________________________________________

Date requested from: to/including:

Date returning to work:

Total number of days:

Employee Signature:

Manager Approval: Approved Rejected

Manager Signature:

HOW TO SUBMIT LEAVE


Employee has to submit leave application form at least 14 days prior to leave taken.
Leave application must be sent to the office and notify manager of requested dates.
Leave can only be taken once you have received a signed confirmation of approval (via message) from management
that it has been approved.
The original application will be sent to the office.
EMPLOYEE PERSONAL INFORMATION

Employee Information

Surname: _____________________________________________

Full Names: _____________________________________________

Cell Number: _____________________________________________

Email Address: _________________________________ ID Number: __________________________________

Date of Birth: _________________________________ Marital Status: __________________________________

Spouse name: __________________________________

Spouse Cell: __________________________________

Residential Address: _________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

Medical Information
Medical Aid Name: __________________________________ Membership Number: ________________________________

Emergency Contact Information


Contact 1
Name: _____________________________________________

Relationship: _____________________________________________

Contact Number: _____________________________________________

Contact 2
Name: _____________________________________________

Relationship: _____________________________________________

Contact Number: _____________________________________________


Date of Employment: ________________________

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