Scribd
Upload
5 views2 pages

Leave Form

This document is an application form for annual or maternity leave to be completed by an employee in the Republic of Kenya's Ministry of Interior and Coordination of National Government. It includes sections for the applicant's details, leave duration, payment instructions, and recommendations from supervisors. The form also outlines the requirements for taking leave outside Kenya and the necessary approvals from relevant authorities.

Uploaded by

Paul Wafula
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
5 views2 pages

Leave Form

This document is an application form for annual or maternity leave to be completed by an employee in the Republic of Kenya's Ministry of Interior and Coordination of National Government. It includes sections for the applicant's details, leave duration, payment instructions, and recommendations from supervisors. The form also outlines the requirements for taking leave outside Kenya and the necessary approvals from relevant authorities.

Uploaded by

Paul Wafula
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

REPUBLIC OF KENYA

MINISTRY OF INTERIOR AND COORDINATION OF NATIONAL GOVERNMENT


IMMIGRATION - NATIONAL REGISTRATION BUREAU

_________________________

___________________________

___________________________

DATE______________________

The Secretary
National Registration Services
P.O. Box 57007,
NAIROBI.

Through:

The District Registrars

……………………………………..

APPLICATION FOR ANNUAL/MATERNITY LEAVE

PART I (To be completed by applicant)


(1) I ___________________________________________PF NO. ____________________

Designation _________________________of___________________apply for _____days

Annual leave with effect from _________________to__________________including leave

last taken by me from ____________to ______________

(2) My leave address will be _______________________________

(3) During my period of leave my salary should:

(a) Continue to be paid into my Bank Account ______________________________

(b) Be paid at the following address _______________________________________

(c) Be included in the payroll of __________________________________________

(4) As I am taking not less than one half of my current annual leave due to me, I wish to receive:

(a) A railway/road warrant for myself and ____________________________

(Give details including the ages of the children)

(b) My pay for the Month of ____________three days before the date of commencement of my leave in
terms of regulations.
(5) I understand that I will require permission should I desire to spend leave outside Kenya in terms of
Personnel Circular 06 of 15/02/1967.

_________________________ ………………………………..

DATE SIGNATURE OF APPLICANT

PAT II

(6)
(a)Recommended arrangements can be made for the performance of the duties of the above officer
during his/her absence.
(b) Not recommended for the following reasons; _________________________________

_________________________ ________________________________
DATE (DISTRICT REGISTRAR/SECTION HEAD)

(7) Recommended/Not recommended for the following reason

________________________________________________________________________________-

________________________ ____________________________
DATE SIGNED – HEAD OF DEPARTMENT

PART III
(Leave Particulars)

(8) Leave brought forward from your previous year ______days. Current year leave_____-day. Total
leave due ____days. To resume duty on _________________.

_______________________ _____________________________

DATE SIGNED – PERSONNEL SECTION

You might also like