LEAVE APPLICATION FORM          
 
Employee:   DATE OF APPLICATION
 
     
WHEN:   From:
To:
 
 
         
                   
Sick Leave
Annual Leave
Parental Leave
   
                   
BEREAVEMENT LEAVE
UNPAID LEAVE
Other
     
       
DOCTORS CERTIFICATE   Comments
   
ATTACH
Drop your file here or click to browse
 
   
 
 
 
APPROVED  
  YES
 
  NO