Labour Relations Act, 1995 (Act No. 66 of 1995)

Notices

If to be paid directly into bank account in employee’s own name, please supply details:

Type of account

Transmission

Branch name

Branch Code

Account No.

Purchase

A.8

Ver. 06/11

Annexure A.8

National Bargaining Council for the Road Freight and Logistics Industry

APPLICATION FOR SICK LEAVE BENEFIT

Private Bag X69, Braamfontein, 2017

31 De Korte Street, Braamfontein, Johannesburg, 2001

Tel. (011 703-7000 / Fax. (011) 339-1380

Website: www.nbcrfi.org.za

1.	Full names of Employee …………..........2. Identity No: …………………

3.	Clock No. ……………………………… 4. Computer No.……………….

5.	Period of absence from work ………………… to ……………………….. inclusive

6.	Period of absence by doctor as per sick note ……………… to………………. inclusive

7.	Did injury occur on duty Yes No

I/We certify that the abovementioned details are true and correct.

Stamp of Company

Date ...............................................….

Place .........................................……..

N.B.

Original doctor’s note must be attached to this application.

[Annexure A.8 of Prescribed forms substituted by Notice No. 426, GG42312, dated 15 March 2019]