TEACHERS SERVICE COMMISSION
TO BE COMPLETED IN TRIPLICATE
The TSC County Director School Address
……………………………………. ……………………………………
- O. Box ………………… P. O. Box ………………………..
……………………………………. ……………………………………..
Through’
The Principal/Headteacher
…………………………………..
- O. Box………………………..
…………………………………..
RE: APPLICATION FOR MATERNITY LEAVE
PART I
I Mrs./Miss TSC No. Wife of do hereby apply for three (3) months maternity leave with effect from as per Doctor’s certificate.
Date:
Applicant’s Signature
PART II
TO BE COMPLETED BY MEDICAL OFFICER
I hereby certify that I have this day examined Mrs./Miss and that her date of conferment will approximately be on . Any alteration made in the certificate should be in initialed by the Doctor.
Date:
NOTE:
Signature: Name: Stamp:
- Application should be submitted at least one month before the leave starts
- A woman teacher who avails herself for maternity leave will for annual leave for that year
- Submit the birth notification before you resume
HUMAN RESOURCE MANAGEMENT OFFICE
TEACHERS SERVICE COMMISSION KENYA IS ISO 9001:2008 CERTIFIED
