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ANNUAL LEAVE REQUEST FORM

"*" indicates required fields

DD slash MM slash YYYY
DD slash MM slash YYYY
DD slash MM slash YYYY
DD slash MM slash YYYY
Clear Signature
Clear Signature
Please return to your Manager/Transport Manager. A signed confirmation slip will be returned by your manager, failure to receive a signed confirmation slip will mean that your request has not been authorised.

Please sign and return to colleague to confirm acceptance of annual leave request.
Name*
DD slash MM slash YYYY
Manager Name*
Clear Signature
This field is for validation purposes and should be left unchanged.