APPLICATION FOR LEAVE

EMPLOYEE DETAILS
Company*
Name & Surname*
Employee Number*
Department*
Line/Branch*
Cell Number*
Email Address*
EMAIL ADDRESS

You may enter your work or personal email. Should you not have an email address, please use your supervisor's or co-worker's email.
LEAVE DETAILS
LONG SERVICE LEAVE

Leave awarded to employees for long service.

Only choose this option if you have received instruction from Payroll.
Type of Leave (1)*
No. of Days (1)*
First Day (1)*

DayMonthYear
Last Day (1)*

DayMonthYear
Type of Leave (2)
Should you need to take a second type of leave
No. of Days (2)
First Day (2)*

DayMonthYear
Last Day (2)*

DayMonthYear
Reason for Leave*
Person Standing In
File Upload

Add your doctor's letter or copy of a death certificate here, alternatively, email it to payroll@wisani.co.za.
Cancelof
Date Applied*

DayMonthYear
Date
Employee Signature*

Clear

EMPLOYEE DETAILS