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| puTURE-FORWARD | workrorce SOLUTIONS “ | SPEAK BLU | | oe) LEAVE FORM Please provide supporting documentation for Family Responsibility, Study, Maternity and Other Leave 1 Name : IBHE Surname: | uy | Employee Code: | 3302350 Position: Genre! oly Client Name: Quewtuun Foods Cost Centre: = Total number Type of Leave Ee From Date To Date |__ of days Annual Leave 2d - 03 - 2018 2b 0-101. adass Unpaid Leave Family Responsibility Matemity Leave = Study Leave Other (Specify) [Contact particulars whilst on leave: _ Sick Leave From Date: To Date: [Number of Days: Nature of lliness: Paid | Unpaid | Yes No Doctor's Note Attached: | Yes | No Please note: A Doctor's Note must be produced in order to be paid and, for leave taken before or after a public holiday or weekend. _ a ‘Acknowledgement: 1, hereby acknowledge that, in the event of termination of my contract for any reason (le. Resignation, Dismissal etc.), any leave taken in excess of allocated annual leave will be deducted from the final remuneration amount due to me. : Date Employee Signature: Huy yy, Requested: 24-03-2018 Authorization: Name & Surname: Signature: Date: Comments: BLU. 2% ORWARD WORKFORCE SOLUTIONS SPEAK BLU LEAVE FORM Please provide supporting documentation for Family Responsibility, Study, Maternity and Other Leave Nene XolANi sumame: |Gu médE Employee Code: |g3,4 Su: Position: GENE RAL akeR | Client Name: Quawtum Pods Cost Centre: Type of Leave From Date To Date Total number __ of days Annual Leave \b- 04-2018 b~ o- 201 iday Unpaid Leave Family Responsibility Maternity Leave Study Leave Other (Specify) Contact particulars whilst on leave: Leave Sick | From Date: To Date: | Number of Days: Nature of Iliness: Paid Unpaid Yes: aaNo Doctor's Note Attached: | Yes | No Please note: A Doctor's before or after a public holiday or ‘Note must be produced in order to be paid and, for leave taken jeekend. ‘Acknowledgement: (a \. hereby acknowledge that, in the event of termination of my contract for any reason (ie. Resignation, Dismissal etc.), any leave taken in excess of allocated annual leave will be deducted from the final remuneration amount due to me. : : Date Employee Signature: Gee Requested: 04-2 O% - 2018 Authorization: Name & Surname: Signature: Date: Comments: | FUTURE-FORWARD | WORKFORCE SOLUTIONS | @ | SPEAK LU | i LEAVE FORM Please provide supporting documentation for Family Responsibility, Study, Maternity and Other Leave Name — | Surname: ol Employee Code: | 93.3.9 67 Position cue Glient Name: | @uguéing Fanaks _| Cost Centre Type of Leave From Date To Date ae annivat Leave eq-03 B06 | 0-03 a0 | day | Unpaid Leave | Famin Respons ibility | Maternity Leave | Study Leave Other (Specify) ee a | = eee Sick Leave | From Date: To Date: Number of Days: | Nature of Illness: | Paid Unpaid Yes No Doctor's Note Attached: [ Yes | No | Please note: A Doctor's Note must be produced in order to be paid and, for leave taken | before or after 3 public holiday or weekend. [ Acknowledgement: i; hereby acknowledge that, in the event of termination of my contract for any reason (Le. Resignation, Dismissal etc.), any leave taken in excess of allocated annual leave will be deducted from the final remuneration amount due to me. Date ZZ : seas Requested: eshszo/s | Authorization: | Name & Surname: Signature:, sug. | Requeste CS. Oe. 2eAS ‘Authorization: Name & Surname: ignature Aes! Date: DEA AOE |Comments: | FUTURE-FORWARD | WorkForce SOLUTIONS @ | veakelu LEAVE FORM supporting documentation for Family Responsibility, Study, Maternity and Other Leave Name : W\ alu Surname: poke Employee Code: Qurvars Position: Germ AsO Es Client Name: Qua Fook. Cost Centre: Type of Leave From Date To Date Total number ai : _ | ofdays _ Annual Leave Wes porw why /eors eae Unpaid Leave Family Responsibility Maternity Leave Study Leave Other (Specify) Contact particulars whilst on leave: i L LE z Sick Leave [From Date: | a [Te Date: | Number of ays: | Nature of lliness: Paid | Unpaid Yes | _No Doctor's Note Attached: | Yes | No Please note: A Doctor's Note must be produced in ‘order to be paid and, for leave taken before or after a public holiday ar wackend, : = Acknowledgement: i - I, hereby acknowledge that, in the event of termination of my contract for any reason (i.e. Resignation, Dismissal etc.), any leave taken in excess of | | allocated annual leave will be deducted from the final remuneration amount due to me, Date : Employee Signature: | jy), ul. Requested: 40/04 forse | Authorization: | Name & Surname: Signature! Moos pate: > PO~t [1% Comments: i]

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