CIVIL SOCIETY FOR POVERTY REDUCTION

(CSPR)
APPLICATION FOR LEAVE (IN QUADRUPLICATE)
A. TO BE COMPLETED BY APPLICANT
Names in full: Mr/Ms/Mrs………………………………………………………………………………
Date of appointment (a) 1st with CSPR: ……………………….…………………………………………

Position:……………………………….…………………………………………..…………………………..
Programmes (please tick) Administration (please tick)

Address whilst on leave: ………………………………………………………..………………………….

Leave applied for: (put a cross (x) in the appropriate space)
1. Annual 5. Compassionate
2. Sick 6. Local
3. Maternity/Paternity 7. Other (specify)
4. Study

Leave starts on: …………………………………….. Leave ends on: ………..………………...

Number of days applied for: ………………………………………………………….…………………..
The reasons for (5, 6 & 7) above:.…………………………………………………….…………………….
…………………………………………………………………………………..…………………………..
Applicant’s signature: ……………..……………….. Date: …………..………………….…………….
____________________________________________________________________________________
B. TO BE COMPLETED BY ADMINISTRATION
Date of last Leave: ………………………………………………………….……….…………………….
Number of days accrued to date: ………………..………………………….…………………………….
Number of days carried forward: ………………………………………..……………………………….
____________________________________________________________________________________
C. TO BE COMPLETED BY FINANCE & ADMINISTRATION /PROGRAMMES MANAGER
Comment/Recommandations:……………………..………………………………………………….
…………………………………………………………………………………………………………….
Signature:……………………………………………………..Date…………………………………….
____________________________________________________________________________________
D. AUTHORISATION
Approved/Not approved
Signature: …………………..………………………… Date: ……………………………………………
DIRECTOR

STAFF LEAVE RECORD

Name: ……………………………………………………………………………………..
Department: ………………………………………………………………………………
Leave entitlement for 2022 ………………………….....days
Balance b/f from 2021…………………………….….... days
Total leave due 2022 ………………......………….…… days

Leave Taken Balance Remarks

Dates Duration