-

,
.. ENT AID FRO M PEO PLE TO PEO PLE
DEV ELO PM
LEA VE APP LIC ATI ON FOR M
7 I

A. A.f.l'LlCATION
FuU Names: ..... ....... ...Ck .JQ ~
NRC Numb er. ....... . ~~.6.~.?.gl4iii~.~~-;~~-~~;~;~~~~:~:~:i~.......
Q ...
....... .. ••· · ••••••.. ••·
n••··· ······· •••••· •••
Job TUJe/ProJect: ....... . s A bf;.~ - .. §.T.I:\ t..JJ ......I .....c~:!.':!.€.~ ..I.$ f f ~ ..
., Cent re: ·····••1 1••···· .......... .... ~I:' :.~. ~.. ! ..............................,. ............................................
······· ••·· ·
Salary per year: ............................
......................

•· • •• •• •.. ••••• ••
. . . . . . . . . . . . . . . . . . . . . . . . . . ,. .
. . . . . . . . . . . . . . . . . . -. . . . . . . .

......
. . . . . . . . . . . . . . . . . . . . . ,,,, . .
........... .

Leave days entitl emen t p·er year..

•
, .. Q..
.......
6 ....... ....... ....... ....... ....... . .... •. •• •• •••· · · · · .. ·
· ·· ··
Date retur ned to duty after last ~ave ::....... .......
....... ..·....... ....... ....... . : .. , •, ••••• • • •··· ••• • •••• •• ••••
D«lle on which last leave was commuted : ....... .......
....... ....... .... -..••• ••••••••••••••• ••••••• ••••••••
f apply to l~k~ ·•gnt1q.Qd_Matemity/U~paltµ .......
. . .. ,
I propo se to begin m)ile ave'· . . . .. .
.. r.~.Q
. , ·J:
11 · lea~e of_ ••• 16...... days
2. •O .
p.
on' ....... t!Odir,_~. n ...•..• .••••• •••• ••••• ••

I apply to com mute ·······~·~ .. -.~ . .-cfa1y;, for the

follow ing reaso n(s): ....... ....... ....... ....... .......
.
....... ....... . , ....... ....... ....... ....... ....... ....... ....... . ~-····
······· ······· ······· ······· ······· ······· ·· •••••••
ti.1ly addr ess while on leave will be ....... ..
."t-.\.~ . J. .•• -•-• •••• •• ••• • ••• •• •• • ••• •• •• • •• ••• •• •• • • ••• •
• • • ••
Stgnature of applicant ....... ....... . -df' ....... ::-:
. . . . . . . . . Date ..... · : ..~.~:.. ...•..• ..•...•
B. END O~E MiN T OF JMM'EDJATE SUPE
RVISOR/LEADER
The abov ~plic atio' } is •supp q e d / ~ tporte
d.
N;~me ../:f}~f?/.-f'-.P..~. . ....... VI.Jl.(1/.lt. lgnat ure .. . ....... ..... --·••H ••·---- ·. ••• •
fi.C/.7,J.?. .(f....rfe.17.(ef.... a/.eJ .....
• ••••
Position
Date .Q:K..!. 0. ~- .f?iJ.. ....... .
C. CON .FIR MAT fO~D COMPUTATION
BY P OLL ADM lNlST RAT OR
CAPTURED ON THE CAPTURED ON THE
PAYROLL PAYROl.L CAP TUR ED~ ~
MON TH THE ACC OUN TS
-- -· DAYS SIGN MONTII DAYS SIGN DAYS SlGN
L E..-'\ VE D.A VS B/F. -
TAKEN /COM MUT ED
--------- -
-- --
!i!.'LANCE CIF. I ;

- -- \ I I I
.-
·-- ---
W.YC !}.a,1~1)~J:-1H§
1. Ac::umulated as par fast payslip· ....... ....... .......
....... ....... ....... ....... ....... ....... .. _....... .... .
2. Em,Q . fouee
., 's rat~ .. n....-::1tr day ....... ....... ....... ....... ....... ....... ....... .......
,.,...,
3. Com muta tior1 ....... ....... . . .............. ".
.. K...... ...... , . ....... ..... .-. . .. ... .. ... . . . . ... . . . . .... .. .. .. .. .. ... .. .. . . .. ... . . . . ..
..
i"lams ...... ...... ...... :: ........................•....... ..... Sign . ........................ .
ature...................... . . ....................... .
Position ...... ...... ...... . •...... ..•....... ....... ....... .......
.. ....... . Date ...... ...... ...... .. _............... .
D. APP!-lOVAL
The application for Leave/Commutation is approved
/not approved.
Narr,e ...... ...... ...... ...... ...... ...... ...... ...... ...... ......
..... Signature
Position .........................................._...... ...... ...... ······ ······ ······ ···,·· ··-··· ······ ···
...... ...... ....·.Dat e
•
······· ·······
' ······· ······· ····-·
NB: An~empfoyee in~y be ~lf ed f;om leave .If nead
. . . ,. ari~ . •

I, •
.. •