ANNUAL LEAVE APPLICATION FORM
IMPORTANT
.
This application form must be filled two weeks before start date.
.
No leave encashment whether employees agrees or not (ELRA. -31(7).
1. (a) Name of Applicant:.......................................................................................PF Number...............................
(b) Position ..........................................................................Date Employed .........................................................
(c) Basic Salary ....................................................................
(d) Reason for application .......................................................................................................................................
(e) Annual leave cycle (Leave year) .....................................(f) Leave balance if any...................................days
(g) Number of days applied .....................................Commencing on...........................ending date..................
(h) Reporting date on duty ..................................................(e) Contact number while on leave ......................
(i) WOULD YOU LIKE TO BE PAID SALARY WHILE GOING ON LEAVE? YES/NO.................
Applicant Signature.....................................................
2. Human Resources remarks:
Date employed..................................................Date of first/last leave................................................
Days employed applied ...................................
Add accured leave if any ................................
Less occassional leave (short leave)...............
Leave balance verified .............................days
The applicant is entitled for...........days only.
Human resource Manager Signature: .................................... Date: ....................................................
3. Department Head:
Leave approved/not approved
If approved number of days approved:...............
Signature: .................................... Date: ....................................................
4. FOR ACCOUNTS USE ONLY:
Leave days granted: Days:-........................................................
Leave salary (Payment):- Tshs:-........................................................
LTA paid for year.....................................Tshs: ....................................Remarks...................................................
Cc: Timekeeper - For your record and Employee.