You can always press Enter⏎ to continue
SAN REFRIGERATION
Application for Leave - MUST BE COMPLETED MINIMUM 24 HOURS IN ADVANCE)
11
Questions
START
1
Name
*
This field is required.
Staff Member Applying for Leave
First Name
Last Name
Previous
Next
Submit
Press
Enter
2
Phone Number
*
This field is required.
Where can you be reached
Previous
Next
Submit
Press
Enter
3
Department
*
This field is required.
Projects - Hendrik Smith
Projects - Kyle Sanderson
RSA Service - Adriaan Van der
Agri Service - Adriaan Van Der Merwe
Office - Justene Tait
Managers - Projects Department - Daniel Wagenaar
Managers - Service Department - Raymond Jordaan
Engineering - Paul Victor
Management - JP Van Zyl
Projects - Hendrik Smith
Projects - Kyle Sanderson
RSA Service - Adriaan Van der
Agri Service - Adriaan Van Der Merwe
Office - Justene Tait
Managers - Projects Department - Daniel Wagenaar
Managers - Service Department - Raymond Jordaan
Engineering - Paul Victor
Management - JP Van Zyl
Previous
Next
Submit
Press
Enter
4
Today's Date
*
This field is required.
/
Date
Day
Month
Year
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
05
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
Hour
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
26
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
Minutes
Previous
Next
Submit
Press
Enter
5
LEAVE TYPE
*
This field is required.
Specify the Type of Leave you require
Leave
Special Leave PAID (All Staff MUST report to office for 2 hours, 1st day after Africa Return)
Leave UNPAID
Special Leave UNPAID
Half Day Leave PAID
Injured On Duty (IOD)
Half Day Leave UNPAID
AWAL (Away Without Official Leave)
Sick Leave (Sick Note to be attached below) (Reason Required)
Traveling Time
Sick Leave UNPAID
Flood Disaster
Half Day Sick Leave PAID
Maternity Leave
Half Day Sick Leave UNPAID
Family Responsibility Leave
Special Sick Leave PAID
Parental Leave UNPAID
Special Sick Leave UNPAID
Other - Detailed Description to be given below (Required)
Previous
Next
Submit
Press
Enter
6
Total of Leave Days
*
This field is required.
How Many days will you be on leave
Previous
Next
Submit
Press
Enter
7
Leave Date From
*
This field is required.
Date Leave will START - MINIMUM 24 HOURS NOTICE
/
Day
Month
Year
Previous
Next
Submit
Press
Enter
8
Leave Date END
*
This field is required.
Last Day of Leave
/
Day
Month
Year
Previous
Next
Submit
Press
Enter
9
Reasons - Where Required
Give a detail description of the reason for leave
Previous
Next
Submit
Press
Enter
10
Attach Note / Document
Drag and drop files here
Select files to upload
Max. file size
: 14.6MB
Browse Files
Cancel
of
Previous
Next
Submit
Press
Enter
11
Employee's Signature
*
This field is required.
Clear
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
11
See All
Go Back
Submit
