COUNTY GOVERNMENT OF KITUI
Cell Phone: Tanathi Water Services Board
0702615888/0702615444/ Building, Ground Floor
0731717100 P.O BOX 33 – 90200
Email:kituicounty@[Link] KITUI
ANNUAL LEAVE APPLICATION FORM
(To be completed in duplicate and submitted at least 30 days before commencement of leave)
Name-------------------------------------------------------------
P/No---------------------------------------------------------------
Designation------------------------------------------------------
Ministry/ Department----------------------------------------
Date---------------------------------------------------------------
The County Secretary/Chief Officer/HoD (Tick as applicable)
County Government of Kitui
KITUI.
Thro’ (Immediate Supervisor)
------------------------------------------------------------------
------------------------------------------------------------------
PART I
(To be completed at the HRM Department)
1. Number of Annual Leave days due to the officer-----------------------------------------------------------
2. Leave days verified by: Name ----------------------------------------------------------------------------------
Designation---------------------------------------------------------------------------
Personal Number--------------------------------------------------------------------
Official Stamp------------------------------------------------------------------------
PART II
(To be completed by the applicant)
1. I wish to apply for ----------days’ annual leave beginning on ---------------------------------------------
2. My leave address will be:
--------------------------------------------------------------------------------------------------------------------------------------
Telephone Number------------------------------------------------------------------------------------------------------------
3. During the period of leave, my salary for the month of ----------------------- should:
* (a) continue to be paid into my bank account
* (b) be paid at the following address:
---------------------------------------------------------------------------------------------------------------------------
*(c) be included in the payroll of --------------------------------------------- (station)
4. I understand that I will require permission should I desire to spend leave outside Kenya in
accordance with the relevant regulation.
Date------------------------------------- Sign-----------------------------------------------------
PART III
(To be completed by Head of Department)
5. *(a) Recommended. Arrangements will be made for the performance of the duties of the
above officer during his/her absence.
*(b) Not recommended for the following reasons:
--------------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------
Station----------------------------------------------- Signed--------------------------------------------------
Date-------------------------------------------------- Designation-------------------------------------------
His /her duties will be performed by: Name---------------------------------------------------------------------------
Designation----------------------------------------------------------------
*Delete as applicable
COUNTY GOVERNMENT OF KITUI
Cell Phone: Tanathi Water Services Board
0702615888/0702615444/ Building, Ground Floor
0731717100 P.O BOX 33 – 90200
Email:kituicounty@[Link] KITUI
APPLICATION FOR MATERNITY LEAVE FOR KITUI COUNTY GOVERNMENT
OFFICERS
(To be completed in duplicate)
Name--------------------------------------------------------
P/No---------------------------------------------------------
Designation------------------------------------------------
Date---------------------------------------------------------
The County Secretary
Kitui County Government
KITUI.
Thro’
------------------------------------------------------------------
------------------------------------------------------------------
------------------------------------------------------------------
APPLICATION FOR MATERNITY LEAVE
PART I
(To be completed by the applicant)
1. I wish to apply for ----------days’ maternity leave beginning on ----------------------------
2. My leave address will be:
--------------------------------------------------------------------------------------------------------------------
Telephone Number-------------------------------------------------
3. During the period of leave, my salary for the month of ----------------------- should:
* (a) continue to be paid into my bank account
* (b) be paid at the following address:
---------------------------------------------------------------------------------------------------------
*(c) be included in the payroll of --------------------------------------------- (station)
4. I understand that I will require permission should I desire to spend leave outside Kenya in
accordance with the relevant regulation.
Date------------------------------------- ------------------------------------------------------
PART II
(To be completed by Head of Department)
5. *(a) Recommended. Arrangements will be made for the performance of the duties of the
above officer during his/her absence.
*(b) Not recommended for the following reasons:
--------------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------
Station----------------------------------------------- Signed--------------------------------------------------
Date-------------------------------------------------- Designation-------------------------------------------
His /her duties will be performed by: Name---------------------------------------------------------------------------
Designation----------------------------------------------------------------
*Delete as applicable
THE COUNTY GOVERNMENT OF KITUI
Cell Phone: Tanathi Water Services Board
0702615888/0702615444/ Building, Ground Floor
0731717100 P.O BOX 33 – 90200
Email:kituicounty@[Link] KITUI
APPLICATION FOR PATERNITY LEAVE FOR KITUI COUNTY GOVERNMENT
OFFICERS
(To be completed in duplicate)
Name--------------------------------------------------------
P/No---------------------------------------------------------
Designation------------------------------------------------
Date---------------------------------------------------------
The County Secretary
Kitui County Government
P.O Box--------------------------------
KITUI.
Thro’
------------------------------------------------------------------
------------------------------------------------------------------
------------------------------------------------------------------
APPLICATION FOR PATERNITY LEAVE
(To be submitted at least 30 days before commencement of leave)
PART I
(To be completed by the applicant)
1. I wish to apply for ----------days’ paternity leave beginning on ----------------------------
2. My leave address will be:
--------------------------------------------------------------------------------------------------------------------
Telephone Number-------------------------------------------------
3. During the period of leave, my salary for the month of ----------------------- should:
* (a) continue to be paid into my bank account
* (b) be paid at the following address:
---------------------------------------------------------------------------------------------------------
*(c) be included in the payroll of --------------------------------------------- (station)
4. I understand that I will require permission should I desire to spend leave outside Kenya in
accordance with the relevant regulation.
Date------------------------------------- ------------------------------------------------------
PART II
(To be completed by Head of Department)
5. *(a) Recommended. Arrangements will be made for the performance of the duties of the
above officer during his/her absence.
*(b) Not recommended for the following reasons:
--------------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------
Station----------------------------------------------- Signed--------------------------------------------------
Date-------------------------------------------------- Designation-------------------------------------------
His /her duties will be performed by: Name---------------------------------------------------------------------------
Designation----------------------------------------------------------------
*Delete as applicable