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EDR 10 Maternity Leave

1. The document is an application form for maternity leave submitted by a teacher to the Ministry of Education according to Education Rules 79 (7), S.I. 87 of 2012. 2. The form requires the applicant to provide biographical data, professional status, current salary rate, and medical certification of expected confinement date. 3. Upon submission, the form is forwarded by the principal to the Managing Authority for verification and then to the Teaching Service Commission for determining the pay schedule and approving a replacement teacher if necessary.

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Keith Augustine
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53 views2 pages

EDR 10 Maternity Leave

1. The document is an application form for maternity leave submitted by a teacher to the Ministry of Education according to Education Rules 79 (7), S.I. 87 of 2012. 2. The form requires the applicant to provide biographical data, professional status, current salary rate, and medical certification of expected confinement date. 3. Upon submission, the form is forwarded by the principal to the Managing Authority for verification and then to the Teaching Service Commission for determining the pay schedule and approving a replacement teacher if necessary.

Uploaded by

Keith Augustine
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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EDR 10

MINISTRY OF EDUCATION
APPLICATION FOR: MATERNITY LEAVE
ED. RULES 79 (7), S.I. 87 of 2012
Application form must be completed in DUPLICATE and submitted to the Managing Authority, through the
Principal, no less than eight weeks before leave is expected to begin.

Procedures: A. APPLICANT’S BIOGRAPHICAL DATA


1. Submission of 1. LICENCE NO.
completed form and 2. NAME
supporting
documents to Last Name First Name Middle Name
Principal. 3. PRESENT POST
2. Principal forwards 4. SCHOOL
application to
Managing Authority. 5. DISTRICT
3. Managing Authority
verifies particulars 6. MANAGING
and forwards AUTHORITY
application to 7. SOCIAL SECURITY
NO.
Commission.
4. Commission B. PROFESSIONAL STATUS: In respect of teachers, tick as appropriate.
8.  Employed for 150 days prior to date of confinement
determines pay
schedule for leave 9.  Employed for less than 150 days prior to date of confinement
period vide Rule 79
(2), (3) & (4) and Date of Employment:
approves D M Y
replacement teacher
as may be necessary.
5. Managing Authority, C. Current Salary Rate
Teacher/staff
member, and 10. Pay Scale: Annual Salary:
principal notified of
particulars of (4)
above.

Verification of Details:

Details are accurate

Principal:
 Yes  No

Managing Authority
 Yes  No

Signature of Applicant D M Y
11. Medical Certification of Expected Confinement
To be completed by Registered
Medical Practitioner only. To: Mrs. Miss Ms. ________________________________________________
(Full Name)
PLACE STAMP HERE I certify that I have examined you today and that in my opinion you are

pregnant and should be confined on___________________________.


(Date)

Name
(print)
District

Signature D M Y

FOR OFFICE USE

PRINCIPAL
Application Received: By:

D M Y Signature
During the period of  Will not be needed.
maternity leave a replacement
teacher / staff member
 Will be needed From: To:

Signature D M Y
MANAGING
AUTHORITY
Application Received: By:

D M Y Signature
Submitted to Commission By:
(TSC)
D M Y Signature
TEACHING SERVICE Application Received:
COMMISSION D M Y
Verification of Details
Signature

Leave Granted as follows:

 Leave with full pay for fourteen (14) weeks


 Leave without pay

Replacement teacher / staff  Will not be provided.


member  Will be From: To:
provided
Applicant and Principal notified on
D M Y
Copy of application form forwarded to Managing Authority
D M Y

D M Y
Signature

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