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3D Olive Road, Penrose

Leave Request Form

Your Full Name
Your Email Address
Phone
Applying for
Annual leave
Sick leave (three or more days sick, a medical certificate must be attached)
Bereavement leave
Medical Certificate
Filename
Status
Size
Add (if applicable)
Dates applied for
Start date
Day / Month / Year
End date
Day / Month / Year
Total number of working days
Declaration
I am the person named above, and understand that this request is subject to approval by management.