Employoe Benefits Administration Manual 20 MOOLMANS cono.: .ALO8 STAFF LEAVE APPLICATION 4. TOBE COMPLETED BY APPLICANT Thette compl ve sections whch appt and subir authorestion NAME: Pornca.din. Vero ke, conan, five)... nda, sire: Me Raa Ke. A Paidorinay eave tom .A2]29.|.13, 0.01.00. bon cays incase, natis te wating dy, 8. —_Unpaidleave fom na 6 . beth ays neue, ats working 98 ©. Sickleave fom sa w both day inchs, al working Sys ©. Nlaamiy eave fn seth day ins tats orig dys . Family esponsity Leave fom na © both cays ease thats woking ye F_Enferedteave rom na © both days ince tal Wong oye died by 9 Du 6 nn CS Be bt yur leave account, Reet pare 55 on verso hereof. sssunomadaaiewiianwne BKO-Wolt.. Tél...00£23..66.76.62 £4 Fan route toms: YES, No. Flight required back ose: VES. Nv ° = 2108112 “SIGNATURE OF APPLICANT DATE ‘GROUP LEAVE POLICY As per the Group's Standard Conditions of Employment ~ see reverse hereof. ‘AUTHORISATION LEAVE AUTHORISED BY {Name Company Oficial) “COMPANY OFFICIAL ‘ivisiowAL FINANCIAL DiRECTOR Anpicatione other than fr unpaid leave must be signed by the company oficial authors to grant leave to the applicant Unpaid eave must be authorised on behalf of te Divisional Executive Commitee and signed by the Dwsional Financial Director and the authorised company offical. 2‘ FOROFFICIAL USE ONLY. A. Leave eye uns rom to B. Before above leave alowed for working days due (excluding retement eave) at cannot exceed 20 days, 6. Retirement leave accrved at 30 June 2002 ys. D. Above leave entered on leave recordin personnel fle ‘SALARIES DEPARTMENT DIVISIONAL ADMIN C20 Revised: 18-07-2002