Distribution: Original to officer
Copies to: Permanent Secretary to Ministry ZCS Form 11B
Provincial Permanent Secretary/Head of Department Stocked by Govt. Printer
ZAMBIA CIVIL SERVICE (LOCAL CONDITIONS)
APPLICATION FOR LEAVE (OTHER THAN SICK LEAVE)
FOR A PERIOD OF LESS THAN THIRTY DAYS
(Officers in Division I, II and III)
To be completed and forwarded in TRIPLICATE to the Permanent Secretary or Head of
Department as early as possible before the proposed date of departure.
PART I
(To be completed by applicant)
Name………………………………………………… Ministry File No…………………………….
Appointment………………………………………... Station ………………………………………
Ministry………………………………………………
Date of commencement of present period of qualifying service…………………20………….(a)
Service in months since (a) above at date of proposed leave………………………………………
Division in which serving…………..………………… Rate of Leave……………..days a month
Leave granted since (a) above……………………days
Leave applied for…………days, the first of which is to be…………………………..20…………Z
Duty to be resumed on…………………………………………..20…………
Address during leave…………………………………………………………………………………
…………………………………………………………………………………………………………
Date…………………………………….. ……………………………………………….
(Signature of applicant)
PART II
(To be completed by Permanent Secretary or Head of Department)
Leave approved………………………..days
Signature:…….…………………………………
Designation:………………………………………
Date:…………………………………..