TAMISEMI Fomu Ya Maombi Ya Likizo

A Leave Application Form in Tanzania (under TAMISEMI – Tawala za Mikoa na Serikali za Mitaa / President’s Office – Regional Administration and Local Government) is an official document used by employees in public service (especially teachers, health workers, and other local government staff) to formally request permission for leave from duty.

It ensures that absence from work is documented, approved, and aligned with employment regulations.

Meaning

A Leave Application Form is a structured form provided by TAMISEMI for government employees to apply for different types of leave, such as:

  • Annual leave
  • Sick leave
  • Maternity or paternity leave
  • Compassionate leave
  • Study leave
  • Special leave (with or without pay)

Main Parts of a TAMISEMI Leave Application Form

While the format can vary slightly, most include the following sections:

  1. Employee Information
    • Full name of employee
    • PF/Check number (employment number)
    • Designation/Job title
    • Department/School/Health facility/Office
    • Duty station (workplace)
  2. Type of Leave Requested
    • Annual leave
    • Sick leave
    • Maternity/Paternity leave
    • Study leave
    • Compassionate leave
    • Other (specify)
  3. Duration of Leave
    • Start date and end date
    • Total number of days requested
  4. Reason for Leave
    • Brief explanation (e.g., medical, family issues, official study, etc.)
  5. Employee’s Declaration
    • Signature of employee
    • Date of application
  6. Recommendation by Supervisor/Head of Department
    • Supervisor’s name, title, and signature
    • Comments/Recommendation (approved/not approved, adjustments)
  7. Approval Section
    • For use by higher authority (District Executive Director, Head of Institution, or authorized officer)
    • Approval signature and official stamp
    • Date of approval
  8. For Official Use
    • Leave days balance (remaining leave entitlement)
    • Remarks from HR or Records Officer

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