APPLI

CATI
ONFORLEAVE
NOTES

1. AnamendedLeav
eFor
m mustbecl
ear
lymar
ked—ei
ther“
AMENDED/
CANCELLED,
ORI
GINALDATESWERE.
..
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.

TO. .
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.”
2. Originalto:Manager ,SalarySer viceBur eau, P.O.Box8093, Causeway .
3. Foral lsick-
leaveinexcessoft hreeconsecut i
vewor ki
ngday s(si
xconsecut i
vewor kingdaysincertai
nar eas:andallsi
ck-l
eavein
theUni formedFor ces; excludi
ngPr i
sonSer vi
cewhohav econditi
onsal i
gnedtoPubl icServi
ce)
, acer
ti
ficateintheform shown
over l
eafi srequir
ed.( I
ndicatecl earlyinthe“ To”col umnifindefi
nit
e.)
4. Appl i
cationsf oradv ancesofsal arymustr eacht heSalaryservi
ceBur eauatleastsixweekspr i
ortostartofleave,unl
ess
arr
angement shav ebeenmadet ot hecont rary.
5. Anadv anceofsal arymaybeappl i
edf or:(
a)i nt hecaseofaGr oupIIorIIIemployee,ifatl
easttendays’leaveistaken;(
b)inthecase
ofan
OfficeroraGr oupIempl oyee,ifatl east21day s’ l
eaveistaken;i
fsuchl eaveistakenov eraperi
odwhi chincludesapayday .
6. UrgentPr i
vateAf f
airsleave—f orusebyTeacher sandDef enceFor cesonly.

1.Sur
name 2.Fi
rstnames

3.Dept
.&St
n.CodeNo. 4.Mi
nist
ry/
Depar
tment 5.St
ati
on

APPLICANTTOCOMPLETEBELOW:
EMPLOYEECODENUMBERANDCHECKDI GIT,
ANDPERI
ODOFLEAVEONLY.
(I
FE.C.No.AND/
ORCHECKDIGI
TAREI
NCORRECT,FORM WI
LLBEREJECTED.
)
S.
S.BUSEONLY
TYPE SECTI
ON SUBSECT EMPLOYEECODENUMBER C/
D +/
- O.
.P

3
1 2 3 4 5 6 7 8 13 14
15 16 19
Enter‘
0’f
or
st
TYPEOFLEAVE (
Ent
erdat
eas6di
git
s:e.
g.1 JUNE1979=010679) rev
ersal
of
previ
ousentr
y 20
FROM TO +/
- DAYS

VACATI
ON
0
21 26 27 32 33 34 36
+/- DAYS

SI
CK

37 42 43 48 49 50 52

ANNUAL

69 74 75 80

SPECI
AL

81 86 87 92

WI
THOUTPAY

93 98 99 104

URGENTPRIVATE
AFFAIRS
(
Note6) 93 98 99 104 +/
- TERMS

SCHOOL(
Teacher
)

105 110 111 116 117 118 120

ADVANCEOFSALARY 121
I
frequi
red‘
Y’i
nbox121
I
fYes,
stat
enumberofmont
hs.
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om t
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acat
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ce.

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