Leave Application
Name *
Position *
I wish to apply for *
Have you emailed a medical certificate? *
Please email all supporting documentation to jane@gellen.org.au
Total hours leave requested *
Dates of leave taken - start *
MM
/
DD
/
YYYY
Dates of leave taken - end *
MM
/
DD
/
YYYY
Any additional information?
Eg. Any time-in-lieu to be taken, swaps of regular working days
Please type your full name below to submit as your digital signature *
Today's date *
MM
/
DD
/
YYYY
*OFFICE USE ONLY* Approval by Executive Officer
DO NOT ANSWER :)
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