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X , Ulll lll lllXXXXXX APPLICATION FOR SPECIAL LEAVE TO BE COMPLETED BY THE EMPLOYEE, APPROVED BY THE HEAD OF THE DEPARTMENT AND SUBMITTED TO THE DEPARTMENT OF HUMAN RESOURCES Special Leave includes Marriage / Civil Partnership leave, Wedding leave, Jury Duty leave, Conferring leave, Military Training leave, Sporting Competition leave, Paternity leave, Special leave without pay Name: ________________________________ Department: ___________________________ Category: ______________________________ Staff No: ______________________________ Date of Application: DD/MMM/YYYY No. of days requested with/without pay: Dates (Quote first day - last day) From: DD/MMM/YYYY To: DD/MMM/YYYY Specify Reason: _____________________________________ Signature of Applicant: ________________________________ Signature-Department Head: ___________________________ PLEASE NOTE: a) Please submit all relevant documentation as outlined in the relevant policy for which you are applying for leave. Policies are available at  HYPERLINK "http://www.ucc.ie/pandp" http://www.ucc.ie/pandp b) All applications for leave are subject to the approval of the Head of Department. c) Formal application for leave should be submitted to The Department of Human Resources at least 7 days before date of commencement of leave.  S V o p   > ? 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