GHANA EDUCATION SERVICE
APPLICATION FOR STUDY LEAVE WITH PAY
PERSONAL PARTICULARS
Institution Applied to:
Surname:
Other Names:
Registered No.:
No. of years of Service:
Grade/ Rank:
Date of Birth:
Present Institution/ Unit/ Office:
Address of Present Institution/Unit/Office:
Last Course Attended (Not Workshops/Seminars):
Period of Course:
No. of years after last course:
PARTICULARS OF EMPLOYMENT (INCLUDING SECONDMENT LEAVE OF ABSENCE ETC)
INSTITUTION/ OFFICE FROM TO REMARKS
ACADEMIC QUALIFICATION
LEVEL SUBJECT PASSED YEAR
PROFESSIONAL QUALIFICATION (STARTING FROM THE MOST RECENT)
COURSE INSTITUTION FROM TO DATE OF AWARD
OF CERTIFICATE
PARTICULARS ABOUT THE COURSE TO BE PURSUED
COURSE INSTITUTION SUBJECT DURATION
MAJOR SUBJECT FOR POST-GRADUATE/DEGREE OR DIPLOMA:
SIGNATURE OF APPLICANTS:
RECOMMEND/NOT RECOMMENDED:
SIGNATURE OF HEAD OF SECOND CYCLE INSTITUTION/REGIONAL
MANAGER (WHERE APPLICABLE)
NAME:
SIGNATURE:
OFFICIAL STAMP AND DATE:
State whether or not applicant is qualified, in terms of existing regulations for study leave
with or without pay, or not qualified at all.
RECOMMENDATION FOR ENDORSEMENT BY METRO DIRECTOR
NAME:
SIGNATURE:
OFFICIAL STAMP AND DATE:
State whether or not applicant is qualified, in terms of existing regulations for study leave
with or without pay, or not qualified at all.
SIGNATURE OF REGIONAL/ DIVISIONAL DIRECTOR
NAME:
SIGNATURE:
OFFICIAL STAMP AND DATE:
NOTE: 1. Forms which are not completely filled shall be rejected
2. Those who leave to pursue