GOP/HR/F2
CENTRE FOR MATHEMATICS, SCIENCE AND TECHNOLOGY EDUCATION IN AFRICA
(CEMASTEA)
APPLICATION FOR ANNUAL LEAVE/MATERNITY LEAVE/PATERNITY LEAVE
This application form should be completed in duplicate by all CEMASTEA staff seeking leave. Duly
completed forms should reach the Director/Deputy Director of CEMASTEA two weeks prior to the
date leave commences. Annual leave is normally taken within the calendar year as per the
schedule prepared by each department.
PART 1
Applicant’s name …………………………………………………………TSC/Personal …………………………
Date........................
Department.........................................Leave duration...... (days) from .........................to
(date)...................
CONTACT DURING PERIOD OF LEAVE
Postal address
…………………………………..........................................................................................................
Mobile tel No. ....................................................................Signature of Applicant
…………………………………
PART II
WORK /ASSIGNMENTS HANDED OVER DURING MY LEAVE
DETAILS OF WORK/ASSIGNMENTS OFFICER TAKING OVER (Name, Signature &
Date)
ISO 9001:2015 CERTIFIED
GOP/HR/F2
PART III
DEAN OF STUDIES/HEAD OF DEPARTMENT/HEAD OF SECTION
The leave application is recommended/not recommended
Remarks
(reasons).....................................................................................................................................
Name………………………………………………………Signature…………………………… Date
…………………………
PART IV
HUMAN RESOURCE OFFICER
Total Number of days entitled to in the year.........No. of days taken........No. of days applied
for.......Bal............
The leave application is recommended/not recommended
Name...........................................................Signature........................................Date........................
........
PART V
COORDINATOR TRAINING/ COORDINATOR SUPPORT SERVICES
The leave application is recommended/not recommended
Remarks
(reasons).......................................................................................................................................
Name……………………………………………………Signature……………………………..Date
……………….............
PART VI
DIRECTOR/ DEPUTY DIRECTOR
This application is approved/not approved
Remarks
(reasons).......................................................................................................................................
Name……………………………………………………Signature……………………………. Date
……………………........
ISO 9001:2015 CERTIFIED
