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4259426-14219400Leave Application Form right2002155Sick Leave□Dates you were away From: _____/______/_______ To: _______/______/______Number of days absent from work: _______________________Are you providing a Medical Certificate? YES or NO If you were absent from work due to illness for 3 or more consecutive days, a medical certificate is required020000Sick Leave□Dates you were away From: _____/______/_______ To: _______/______/______Number of days absent from work: _______________________Are you providing a Medical Certificate? YES or NO If you were absent from work due to illness for 3 or more consecutive days, a medical certificate is requiredright6309912Signature: ____________________________ Date:______/____/_____00Signature: ____________________________ Date:______/____/_____right7062139BRANCH USE ONLY Branch:AKLTGA HAM WELCHCHConsultant: _________________________________________DATE_________________PAYROLL APPROVAL: ____________________________________________________00BRANCH USE ONLY Branch:AKLTGA HAM WELCHCHConsultant: _________________________________________DATE_________________PAYROLL APPROVAL: ____________________________________________________-4787904645025Bereavement Leave□ Please supply information regarding the person you are taking Bereavement Leave for:Name ___________________________________Relationship__________________Date of Funeral: _______/_______/_______ Location of Funeral ___________________Number of Days absent from work______________________ We are very sorry for your loss.020000Bereavement Leave□ Please supply information regarding the person you are taking Bereavement Leave for:Name ___________________________________Relationship__________________Date of Funeral: _______/_______/_______ Location of Funeral ___________________Number of Days absent from work______________________ We are very sorry for your loss.-4787903500092I wish to resign from my employment with 1st Call Recruitment□Last Day of Employment is: _________/_________/____________I understand by resigning from 1st Call, that there is a 4-week stand-down and accrued holiday pay will be processed the week following my resignation, less any monies owing. 00I wish to resign from my employment with 1st Call Recruitment□Last Day of Employment is: _________/_________/____________I understand by resigning from 1st Call, that there is a 4-week stand-down and accrued holiday pay will be processed the week following my resignation, less any monies owing. right918651Annual Leave□Dates you are away From: _______/______/_______ To: _______/______/______Total Number of Working days you are away: _____________________00Annual Leave□Dates you are away From: _______/______/_______ To: _______/______/______Total Number of Working days you are away: _____________________right298892First Name: ______________________Surname: ______________________00First Name: ______________________Surname: ______________________right8483600Please drop completed forms into your nearest 1ST CALL office or send direct to Payroll at:FAX: (07) 579 9296EMAIL: payroll@1cr.co.nzAdditional forms can be printed off at our website 1cr.co.nz00Please drop completed forms into your nearest 1ST CALL office or send direct to Payroll at:FAX: (07) 579 9296EMAIL: payroll@1cr.co.nzAdditional forms can be printed off at our website 1cr.co.nz ................
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