ZPC II Form

(1976)
Stocked by Govt. Printer
DISTRIBUTION:

Original to: Officer

Copy to: Permanent Secretary of officer’s Ministry or Province
Permanent Secretary, Personnel
Senior Finance Officer (Salaries), Ministry of Finance
District Secretary or Head of Department

ZAMBIA PUBLIC SERVICE (LOCAL CONDITIONS)

APPLICATION FOR LEAVE AND LEAVE CERTIFICATE
The original and four copies of this form are to be completed by the applicant and forwarded to his
Permanent Secretary, through the District Secretary or Head of Department in accordance with General Order F44.
PART A
Surname …………………………………………. Other names …………………………….

Personnel Division File No ……………………… Nat. Reg. Card No. ………………………

Ministry/Province ……………………………….. Ministry File No…………………………

Department ………………… ……………………. Rank …………………………………….

Division ………………………………………….. Salary K ………………… Per annum

Date of return to duty after last leave (or date of appointment if leave not previously taken) ……………
Date on which leave was last commuted ………………………………………………………………….
Date on which leave travel warrant was last received …………………………………………………….
I now apply to take ……………...……. Days ………….………….. (State type of leave now applied for
(ordinary, special, maternity, etc – see Section F of General Orders) the first of which is to be
………………………………….. and to commute ………………………………. days making a
total of ………………………………..days to be deducted from my earned leave.
I also apply for a leave travel warrant for myself, my wife and ………………. Children* aged …………
from ……………………………………………. To …………………………………………….and
return.
Salary on leave to be paid* in the normal way/in advance up to the last day of the month preceding my
return from leave.
My address on leave will be ……………………………………………………………………………….
……………………………………………………………………………………………………………..

Date ……………………………………………… …………………………………………………

Signature of applicant
 PART B
(To be completed by Head of Department)

The forgoing application is forwarded and recommended. I certify that the details are correct.
The applicant is an established officer/ serving on probation/ Serving on agreement.*

Date …………………………………. Signature ……………………………………..

Designation …………………………………..

PART C
(To be completed by the Personnel Officer of the Officer’s Ministry or Province)

Qualifying Service
Odd days of qualifying service brought forward from previous application
for Leave and Leave Certificate …………….. days

Qualifying service from date of return to duty after last leave to date of
proposed leave (see note (I))1

From ……………… To ……………… in Division III …………….. months …………….. days

From ……………… To ……………… in Division II …………….. months …………….. days
From ……………… To ……………… in Division I …………….. months …………….. days

TOTAL (see note (I))

______________________________

Equals ……….completed months of qualifying service and …………….. days of qualifying

service to carry forward. (see note (ii)).

Earned Leave
Earned leave brought forward from previous Application for leave and
Leave Certificate = ……………… days

…………Completed months in Division III @ ………….. days per month = ……………… days
…………Completed months in Division II @ ………….. days per month = ……………… days
…………Completed months in Division I @ ………….. days per month = ……………… days

TOTAL LEAVE NOE DUE ……………… days

Less leave now granted ………………. Days

Less days commuted ………………. Days TOTAL ……………… days

Leave to be carried forward ………………days

The officer is/is not* entitled to leave travel warrant for himself and his dependents as shown in
PART A.
The officer may be granted …………….. days’ traveling time in each direction .

Date …………………………………………….. Signature …………………………………..

Designation ………………………………..

PART D
(To be completed by the Permanent Secretary of the officer’s Ministry or Province)
I hereby certify that Mr./Mrs/Miss …………………………………………………………………………

(i) is now granted …………………….. days’ ……………………. Leave with pay

…………………….. days’ ……………………. Leave with half pay
…………………….. days’ ……………………. Leave without pay

A total of ……………….. days’ leave plus ………days’ additional travel leave under
General Orders F47 commencing on ………………………… 20 …..

(ii) is to resume duty on …………………………… 20 ……

Date …………………….. …………………………………………

Permanent Secretary

Ministry …………………………………………. Province

*Delete as applicable
Applicable to Division III officer only

Notes
(i) Qualifying service is the time spent on duty or when sick of full salary. Any other period of
absence from duty does not count as qualifying service.

(ii) Each period of thirty odd days reckoned as one complete month and is calculated as at the leave rate as
the first day of leave now applied.

INSTRUCTION TO OFFICERS

1. An officer must provide his Ministry with an address to which correspondences may be directed during his leave and
will be held responsible for any inconveniences that may be caused through communication not reaching him
promptly.
2. An officer who is taken ill so as to require medical attention either during the journey or whilst on leave, and remains
ill for seven days or more, must report the fact to his Permanent Secretary and, at the same time, forward medical
certificate from a Registered Medical Practitioner stating the nature of the illness and, if possible, its probable
duration. Unless this instruction is complied with, an officer will not be entitled to any salary during any sick leave
which it may be necessary to grant him.
3. An officer on leave desiring either an extension of leave or reduction in the period of leave must submit an
application to his Permanent Secretary stating the grounds on which the extension or reduction is required.
4. An officer who, having been granted leave fails to return to duty at the proper time, is liable to summary dismissal.
5. An officer on leave may be required to undertake any course of instruction and so discharge any duty during his leave
and will not be entitled to any additional remuneration in consequences of such employment. An allowance may,
however, be granted to cover necessary out-of-pocket expenses, and an extension of leave may be granted where
applicable.
6. An officer on leave may not accept any paid employment without previously obtaining the sanction of the Permanent
Secretary, Personnel.
7. Existing arrangements for payment of salary will automatically apply unless the officer elects to receive his salary in
advance.
8. In case of officers serving in Division I or II advances of salary will be paid by the Salaries Section Ministry of
Finance. In case of officers serving in Division III advances of salary will be paid by the officer’s Ministry or
Province.