<p> Newcastle University – Additional Annual Leave Request Form</p><p>TITLE: Preferred first name: Personnel no: </p><p>Forename(s): Surname: (as shown on passport) (as shown on passport)</p><p>Academic/Service Unit: </p><p>Email address: Extension: </p><p>You may apply for a number of days of additional annual leave. If approved, your annual salary will be reduced by an amount equivalent to the number of days / hours leave being taken; each day considered to be 1/260th of a year.</p><p>You can apply by 1 August for up to 10 days additional leave in the next leave year from 1 October or by 1 February for up to an additional 5 days in half of the leave year from 1 April. For staff who work part-time or are contracted to work more or less than a standard five day working week, the number of days will be pro-rata to the equivalent of two working weeks.</p><p>Number of days requested </p><p>Full-time staff please request number of days. Part-time staff please request number of hours</p><p>I wish to apply for an additional days / hours (delete as required) of annual leave in the year 20___ / 20___ .</p><p>To be effective from (delete as required): October (maximum two working weeks) April (maximum one working week)</p><p>Employee’s Declaration:</p><p>I confirm that, if approved, my salary will be reduced by an amount equivalent to the salary for the number of days / hours additional leave requested; each day considered to be 1/260th of a year.</p><p>I agree that this additional leave will be added to my annual leave and taken in the normal way by application to and approval by my line manager.</p><p>The deduction will be made: (please cross one) One lump sum </p><p>10 / 4 monthly deductions from salary (please delete one)</p><p>In the event that I leave the University I agree to the outstanding amount being deducted from my final pay.</p><p>Signed: Date: </p><p>Page 1 of 2 Additional Annual Leave Request Form Form updated 05 August 2011 Manager’s Approval </p><p>I approve this request for additional annual leave Line Manager: Signature: Date: </p><p>Print name: </p><p>Approved forms should be sent to the Payroll Section, King’s Gate.</p><p>Payroll use only</p><p>IT0014 Start date: End date: Amount: </p><p>Input by: Checked by: </p><p>Page 2 of 2 Additional Annual Leave Request Form Form updated 05 August 2011</p>