Leave Application
Name
Name and Surname
Today's Date
*
/
Day
/
Month
Year
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Type of Leave
*
Please Select
Annual Leave
Sick leave
Personal Leave
Conference
Networking
Unpaid Leave
Work remotely
Other
First Day of Leave
*
/
Day
/
Month
Year
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First Day back at Work
*
/
Day
/
Month
Year
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Number of Leave Days
*
If 'Other' - please provide details:
Submit
Should be Empty: