Leave Request Form. Name of Staff/Jina la Mfanyakazi * First Name Last Name From/Kutoka * MM DD YYYY To/Mpaka * MM DD YYYY Number of Working Days Included in Leave/Idadi ya Siku za Kazi Zilizojumuishwa katika Likizo * Balance (Remaining) Leave Days /Siku za Likizo Zilizobaki * Reason for Leave / Sababu ya Likizo * Vacation Leave/Likizo ya Mapumziko Sick Leave/Likizo ya Ugonjwa Personal Leave/Likizo Binafsi Maternity or Paternity Leave/Likizo ya Uzazi Bereavement Leave/Likizo ya Msiba Other/Nyingine My address on leave will be/ Makazi yangu wakati ya likizo yatakuwa * Address 1 Address 2 City State/Province Zip/Postal Code Country Any Comment/Maelezo mengine (optional/kwa hiari) Mobile Phone/Namba ya Simu * Contact to be reached when on leave/Namba utakayo patikana wakati wa likizo (###) ### #### Date of Leave Request/Tarehe ya Maombi * Your leave request has been received. You will receive an email or message on your phone confirming approval or a reason to defer your request/Ombi lako la likizo limepokelewa. Utapokea barua pepe au ujumbe kwenye simu yako kuthibitisha kama limeidhinishwa au sababu ya kuahirishwa.
