REPUBLIC OF KENYA POLICE 11B
KENYA POLICE.
(Subordinate Officers Both Civilian and Uniformed)
(I)1.No .Rank/Grade .Name
2.Section/Police Station .
3.Number of days applied for .w.e.f ..
4.Date of last return from leave
5.Destination ...
Leave Address
.
6.Nearest Police Station .
7.Address for leave salary/cheque ..
(if applicable) ..
Signature of applicant.
Date ..
(II) Recommended/Not recommended.
Officer-in-Charge.
Date
(III) Eligible for days.
Outward Road Travel Warrant No ...from .to .
Return Road Travel Warrant No ..from to .
Outward Railway Warrant No ...from to .
Return Railway Warrant No ...from to .
Casualty return No of
(To be completed after the leave has been approved)
..
Office Assistant
Date
(IV) .days leave approved from ..to ..
To report back on duty on
..
O.C.P.D./Head of Dept.
Date
(delete where applicable.)
NOTES FOR GUIDANCE.
Complete in duplicate.Approval for leave will be signified by returning original of this
Application to the man proceeding on leave as his record.Duplicate to remain in
Personal File.
GPK (L)