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REPUBLIC BANK (GUYANA) LIMITED

Leave Request Form

NAME: Indira Gopaul DATE: December 19,2023

EMPLOYEE ID NO: 681 BRANCH / DEPARTMENT:


RISK MANAGEMENT

Indicate the ‘leave type’ being applied for, from the list below.

LEAVE TYPE START DATE END DATE

VACATION

PATERNITY
MATERNITY (medical attached)
EXAMINATION (documents attached)

*CASUAL December 20,2023 Afternoon (½ day)


*COMPASSIONATE
*OTHER

* Reasons:

Number of casuals taken for this year inclusive of this request: 4 days

EMPLOYEE’S SIGNATURE

FOR OFFICIAL USE ONLY

Approved Not Approved

MANAGER’S SIGNATURE DATE MANAGER’S NAME


IN PRINT

DATA ENTRY INTO HRIS

Input By……………………………. Date …………..

(Completed/Approved form is to be filed in employee’s personal records)

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