LEAVE FORM REQUEST

Please note this leave request is subject to management approval.

Employee Name

First Name

Last Name

Email Address

Department

Please choose your relevant department/area of work

Type of Leave Requested

Other Paid Leave

Please specify:

First DATE of Leave

Please use format DD/MM/YYYY or pick date from calendar

Last DATE of Leave

Further Comments

AC Goulding Employee

I confirm that I am an AC Goulding Employee

I am not a robot

Subject to Approval

I understand that this leave request is subject to approval

Subject to Approval

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