Leave Application | Next Generation Digital

Name *

First

Last

Type of leave *

Date of commencement *

Start date (including)

Date of completion *

End date (including)

Days *

Total days leave for this application

Date returning to work *

Please confirm that date that you will be returning to work

Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

I understand the conditions pertaining to the leave applied for above, and I will hand over all outstanding work and queries to my direct manager before embarking on my leave.