Shtojca nr.

KRKESA PR PUSHIM
Institucioni _____________________________________________
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Pr npunsin civil,

Emri dhe mbiemri i npunsit civil____________________________________

Pozita:________________________________________________
Njsia:________________________________________________

1.Pushim Vjetor
2.Pushim Mjeksor
3.Pushim i Prdllimit
4.Pushim Prindror

Prej:___/___/________, deri:___/___/________. _____dit.

Data data

Nnshkrimi................................................
(nga npunsi civil)
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Pr Udhheqsin,
Pushim:_________________ i krkuar nga npunsi civil,
(lloji i pushimit)

1.Miratohet sipas krkess

2.Nuk miratohet si sht krkuar
3.Refuzohet krkesa.
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Arsyetimi nga udhheqsi, pr mos miratimin si sht krkuar, apo refuzimi i krkess.

Nnshkrimi........................................... Data:___/___/______.
(nga udhheqsi)

Vrejtje: nj kopje e ktij formulari, pas nnshkrimit nga udhheqsi i dorzohet njsis s personelit.
 Annex no. 1

LEAVE APPLICATION
Institution _____________________________________________
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Civil servant,

Civil servants name and surname____________________________________

Position:________________________________________________
Unit:________________________________________________

1. Annual leave
2. Sick leave
3. Compassionate leave
4. Paternity leave

From: ___/___/________, until: ___/___/________. _____days.

Data date

Signature................................................
(civil servant)
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Manager,
Leave:_________________ required by civil servant,
(Type of leave)

1.approved
2.not approved
3.refused
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Justification by the manager for non-approval or refusal of application.

Signature........................................... Date: ___/___/______.

(by the manager)

Remarks: a copy of this form, upon signed by the manager shall be submitted to the personnel unit.
 Anekx br. 1
ZAHTEV ZA ODMOR
Institucija _____________________________________________
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Za civilnog slubenika,

Ime iprezime civilnog slubenika____________________________________

Pozicija:________________________________________________
Jedinica:________________________________________________

1. Godinji odmor
2.Bolovanje
3.Smilovanje (smrtni sluaj
4.Trudniko bolovanje

Od:___/___/________, do:___/___/________. _____dana.

Datum datum

Potpis................................................
(od civinog slubenika )
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Za rukovodioca,
Odmor:_________________ traeno od civilnog slubenika,
Vrsta odmora

1. Odobravase prema zahtevu

2.Ne odobravase kao to je traeno
3.Odbija se zahtev
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Obrazloenje rukovodioca ,u sluaju ne odobravanja prema traenom zahtevu ili odbijanje zahteva.

Potpis........................................... Datum:___/___/______.
(od rukovodioca)

opomena: jedna kopija ovog formulara,nakon potpisivanja , predajese u personel .