aanstellingsbrief - bibc forms for empl… · web viewmy bluecard, certificate of service as well...

AAANSOEK OM LENING 66AANSOEK OM VERLOF/APPLICATION FOR LEAVE 62AANSTELLINGSBRIEF 1AMPTELIKE NOTULE VAN DISSIPLINêRE VERHOOR 18ANNEXURE A 4APPLICATION FOR A LOAN 67APPLICATION FOR EMPLOYMENT 80

BBANKING DETAILS/BANK BESONDERHEDE 86

CCERTIFICATE OF ACCEPTANCE 3

DDESERTION 50DIENSVERLATING 49DISCIPLINARY REPORT 37DISSIPLINêRE VERSLAG 36

FFINAL WRITTEN WARNING 13FINALE SKRIFTELIKE WAARSKUWING 12

GGRIEVANCE FORM 45GRIEWE VORM 44

KKENNISGEWING OM HUISVESTING TE ONTRUIM 64KENNISGEWING VAN AFLEGGING 56KENNISGEWING VAN DIENSBEëINDIGING 42KENNISGEWING VAN DISSIPLINêRE VERHOOR 16KENNISGEWING VAN KORTTYD 72KENNISGEWING VAN SKORSING 14, 40KENNISGEWING VAN SUMMIERE ONTSLAG 38KENNISGEWING VAN VOORGENOME AFLEGGING 51KENNISGEWING VAN VOORNEME OM KORTTYD IN

TE STEL 70KENNISGEWING VAN VRYWILLIGE DIENSBEëINDIGING DEUR

WERKNEMER 48

LLETTER OF APPOINTMENT 3

MMANDAAT 78MANDATE 79MONDELINGE WAARSKUWING 8

NNOTICE OF TERMINATION OF SERVICE 43NOTICE OF ANTICIPATED RETRENCHMENT 52NOTICE OF DISCIPLINARY HEARING 17NOTICE OF INTENTION TO INTRODUCE SHORTTIME 71NOTICE OF SHORTTIME 73NOTICE OF SUMMARY DISMISSAL 39NOTICE OF SUSPENSION 15, 41NOTICE TO VACATE LIVING QUARTERS 65

OOFFICIAL RECORD OF DISCIPLINARY HEARING 27OFFICIAL RECORD OF POOR WORK PERFORMANCE MEETING 60OFFISIëLE REKORD VAN SWAK WERKSPRESTASIEVERGADERING

58

RREQUEST FOR AN APPEAL 47RETRENCHMENT NOTICE 57

SSERTIFIKAAT VAN AANVAARDING 2SKRIFTELIKE WAARSKUWING 10

TTRANSPORT INDEMNITY FORM 77TRANSPORT INDEMNITY FORM (MINORS) 76

UULTIMATUM OM DIENS TE HERVAT 68ULTIMATUM TO RETURN TO WORK 69

VVERBAL WARNING 9VERLOFSTAAT/LEAVE RECORD 63VERSOEK VIR ‘N APPèL 46VERVOER VRYWARINGSVORM 75VERVOER VRYWARINGSVORM (MINDERJARIGES) 74

WWRITTEN WARNING 11

1

AANSTELLINGSBRIEF

_____________________

_____________________

_____________________

_________________20__

VOLLE NAME: ________________________________________________________________

ID NOMMER: ________________________________________________________________

Geagte ________________________________

U word hiermee in kennis gestel dat u aangestel word as ______________________. U diens sal ‘n aanvang neem op _________________________. U normale werkplek sal wees te _________________________________________________________________________________.

U pligte is uiteengesit soos in u pligstaat.

By ondertekening van hierdie Aanstellingsbrief verbind u uself tot al die voorwaardes van diens, soos vervat in die Dienskontrak tussen uself en die werkgewer.

U word alle sukses toegewens in ons diens.

_______________________________HANDTEKENING VAN WERKGEWER

SERTIFIKAAT VAN AANVAARDING

Ek aanvaar my aanstelling en sal met my pligte begin op die ooreengekome datum. Ek verstaan en aanvaar al die voorwaardes en bepalings soos vervat in die dienskontrak.

Ek bevestig hiermee dat ek vertroud is met die Griewe- en Dissiplinêre Kode van die werkgewer waarvan die inhoud aan my verduidelik is.

Ek verstaan en aanvaar dat my diensvoorwaardes kan verander, maar dat die werkgewer vooraf met my gesprek sal voer voordat enige van die voorwaardes gewysig word.

_______________________________ ___________________20__HANDTEKENING VAN WERKNEMER

Die inhoud van hierdie dokument is deur my aan die werknemer getolk vanuit _________________ na _______________________, en *hy/sy het aangedui dat *hy/sy verstaan.

_______________________ ___________________20__HANDTEKENING VAN TOLK

* Skrap waar nie van toepassing

3

LETTER OF APPOINTMENT________________________________________________________________________20__

FULL NAMES: ________________________________________________________________

ID NUMBER: ________________________________________________________________

Dear ________________________________

You are hereby informed that you have been appointed as __________________________________.Your service will commence on _____________________. Your normal workplace will be at _________________________________________________________________________________.

Your duties are contained in your duty sheet.

By signing this Letter of Appointment you are committing yourself to all the conditions of employment, contained in the Employment Agreement between the employer and yourself.

We wish you all success in our service.

________________________SIGNATURE OF EMPLOYER

CERTIFICATE OF ACCEPTANCE

I hereby accept my appointment and will assume my duties on the said date. I understand and accept all the conditions contained in our employment agreement.

I confirm that I am aware of the Grievance- and Disciplinary Procedures, and the Disciplinary Code of the employer, which have been explained to me.

I understand and accept that the employment conditions may change from time to time, but that the employer will consult with me prior to altering any of the provisions regarding my employment.

________________________ ______________20__SIGNATURE OF EMPLOYEE

The contents of this document was interpreted by me to the employee from ________________to__________________, and *he/she indicated that *he/she understood.

___________________________ _______________20__SIGNATURE OF INTERPRETER

* Delete where not applicable

4

ANNEXURE AAANHANGSEL A

DISCIPLINARY CODE / DISSIPLINêRE KODE

Nature of offenceAard van oortreding

CategoryKategorie

First offenceEerste oortreding

Second offenceTweede oortreding

Third offenceDerde oortreding

Action steps of EmployerAksiestappe deur Werkgewer

Reporting late for duty.Absent from work place.Leave the work place early /without permission.

Meld laat aan vir werk.Afwesig van die werkplek.Verlaat die werkplek vroeg/sonder toestemming.

Minor

Gering

Verbal or written warning

Mondelinge of skriftelike waarskuwing

Final written warning

Finale skriftelike waarskuwing

Hearing

Verhoor

Absent from work without good reason/leave or collective absence.

Afwesig van die werk sonder goeie rede/verlof of kollektiewe afwesigheid.

Serious

Ernstig

Verbal or written warning

Mondelinge of skriftelike waarskuwing



Hearing

Verhoor

Failing to report for overtime duties.

Versuim om vir oortyd aan te meld.

Serious

Ernstig

Written warning

Skriftelike waarskuwing



Hearing

Verhoor

Effecting false entries in the attendance or other registers.

Maak van vals inskrywings in die aanteken of ander registers.

Serious

Ernstig



Hearing

Verhoor

-

-

Submitting a false medical certificate.

Aanbied van vals mediese sertifikaat.

Serious

Ernstig

Final written warning or hearing

Finale skriftelike waarskuwing of verhoor

Hearing

Verhoor

-

-

Submitting of false information regarding previous misconduct or criminal offences.

Verskaffing van vals inligting met betrekking tot vorige wangedrag of kriminele oortredings.

Serious

Ernstig

Hearing

Verhoor

-

-

-

-

Submitting of false information to obtain family responsibility leave.

Verskaffing van vals inligting ten einde gesinsverantwoordelik-heids verlof te verkry.

Less serious

Minder ernstig

Written warning




Hearing

Verhoor

5

Sleep while on duty.

Slaap aan diens.

Depending on the merits

Afhangende van die meriete

Verbal warning/written warning/dismissal without notice

Mondelinge waarskuwing/skriftelike waarskuwing/ontslag sonder kennisgewing



Hearing

Verhoor

Intentional or negligent causing of damage to the employer, co-worker or clients of employer.

Opsetlike of nalatige veroorsaking van skade aan die werkgewer, mede-werker of werkgewer se kliënt.

Serious

Ernstig

Hearing

Verhoor

-

-

-

-

Neglect of duty.

Pligversuim.

Serious

Ernstig

Written warning


Hearing

Verhoor

-

-Causing of damage due to negligence.

Nalatige veroorsaking van skade.

Serious

Ernstig

Written warning




Hearing

Verhoor

Fails to comply with his/her duties and responsibilities.

Versuim om sy/haar pligte en verantwoorde-likheid na te kom.

Serious

Ernstig

Written warning




Hearing

Verhoor

Fails to comply with any provision contained in the policy of the employer.

Versuim om enige bepaling vervat in die beleid van die werkgewer na te kom.

Serious

Ernstig

Written warning




Hearing

Verhoor

Fails or refuse to comply with any lawful instruction.

Versuim of weier om enige wettige instruksie na te kom.

Serious

Ernstig

Written warning or final written warning

Skriftelike waarskuwing of finale skriftelike waarskuwing

Hearing or final written warning

Verhoor of finale skriftelike waarskuwing

Hearing

Verhoor

Intimidation and / or incitement of co-employees.

Intimidasie en / of aanhitsing van mede-werknemers.

Serious

Ernstig



Hearing

Verhoor

-

-

Assualts a co-employee Fighting in the workplace.

Aanranding van enige ander mede-werknemer.Bakleiery in werksplek.

Serious

Ernstig

Hearing

Verhoor

-

-

-

-

Adopting an insolent attitude toward any supervisor or the employer.

Inneem van ‘n onbeskofte/disrespek-volle houding teenoor enige toesighouer of die werkgewer.

Serious

Ernstig

Written warning or hearing

Skriftelike waarskuwing of verhoor



Hearing

Verhoor

6

Poor and sub-standard work

Swak en ondergemiddelde werk

Serious

Ernstig

Written warning or hearing

Skriftelike waarskuwing of verhoor



Hearing

Verhoor

Report for duty while under the influence of liquor or narcotics or use alcohol or other narcotics while on duty

Aanmeld vir diens terwyl onder die invloed van drank of verdowingsmiddels of gebruik daarvan terwyl aan diens.

Serious

Ernstig

Written warning or Final written warning or a hearing

Skriftelike waarskuwing of Finale skriftelike waarskuwing of ‘n verhoor

Final written warning or a hearing

Finale skriftelike waarskuwing of ‘n verhoor

-

-

Pretends to be ill to obtain exemption from duty.

Voorgee om siek te wees ten einde vrystelling van diens te kry.

Serious

Ernstig

Verbal warning

Mondelingse waarskuwing

Written warning




Unauthorised use of property belonging to the employer or a client of the employer.

Ongemagtigde gebruik van eiendom van die werkgewer of ‘n kliënt van die werkgewer.

Serious

Ernstig

Written warning




Hearing

Verhoor

Display discourtesy towards any person/client in the execution of his/her duties.

Onbeleefdheid toon teenoor enige persoon/kliënt in die uitvoering van sy/haar pligte.

Serious

Ernstig

Verbal warning


Written warning




Failure to inform employer of absence and expected date of return.

Versuim om werkgewer van afwesigheid in te lig en datum van verwagte terugkeer.

Minor

Gering

Verbal warning






Failure to return for duty timeously after lunch and tea breaks.

Versuim om betyds vir diens aan te meld na etens- en teetye.

Minor

Gering

Verbal warning






Indolent and slow work.

Traag en stadige werk.

Minor

Gering

Verbal warning






Dirty and insulting language.

Vuil en affronterende taalgebruik.

Minor

Gering

Verbal warning






7

Intentionally in dangering others safety.

Opsetlike ingevaarstelling van ander se veiligheid.

Serious

Ernstig



Hearing

Verhoor

-

-

Dishonesty.

Oneerlikheid.

Serious

Ernstig

Hearing

Verhoor

-

-

-

-Sabotage.

Sabotasie.

Serious

Ernstig

Hearing

Verhoor

-

-

-

-Revealing of confidential information to unauthorised persons.

Openbaarmaking van vertroulike inligting aan ongemagtigde persone.

Serious

Ernstig



Hearing

Verhoor

-

-

Any other action detrimental to the interest of the employer.

Enige ander optrede wat die belange van die werkgewer nadelig raak.

Serious

Ernstig



Hearing

Verhoor

-

-

Any conduct affecting the employer/employee relationship detrimentally.

Enige gedrag wat die werkgewer/werknemer se verhouding nadelig raak.

Serious

Ernstig



Hearing

Verhoor

-

-

Failure to produce a medical certificate.

Versuim om ‘n mediese sertifikaat in te dien.

Minor

Gering

Written warning




Hearing

Verhoor

Abuse of sick leave.

Misbruik van siekverlof.

Serious

Ernstig

Written warning




-

-

Gross insubordination.

Growwe disrespek.

Serious

Ernstig

Hearing

Verhoor

-

-

-

-Sexual harassment.

Seksuele teistering.

Serious

Ernstig

Hearing

Verhoor

-

-

-

-Giving false evidence or making of false statement.

Aflê van vals getuienis of aflê van valse verklaring.

Serious

Ernstig

Hearing

Verhoor

-

-

-

-

Misuse of telephones for private purposes.

Misbruik van telefone vir privaatdoeleindes.

Serious

Ernstig

Written warning




Hearing

Verhoor

8

MONDELINGE WAARSKUWING

NAAM VAN WERKNEMER: _______________________________________________

WERKNEMER NO OF ID NO: _______________________________________________

1. U word hiermee in kennis gestel dat dit blyk dat u ‘n oortreding begaan het wat onaanvaarbare gedrag geopenbaar het/*u pligte verrig het op ‘n wyse wat van ‘n onaanvaarbare standaard is, deurdat u op __________________________ (datum) om ___________________________ (tyd) en te of naby __________________________ (plek).

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

2. Aangesien dit as ‘n oortreding van geringe aard beskou word, word u slegs Mondelings Gewaarsku om u voortaan van sodanige *optrede/gedrag te weerhou, en u gedrag binne die voorgeskrewe standaard te hou.

3. U word verder verwittig dat ‘n aantekening van hierdie Mondelinge Waarskuwing op lêer gehou sal word. Dit sal van krag bly vir ses maande vanaf die datum waarop die waarskuwing aan u gerig was. Hierdie waarskuwing verval dus op ____________________ .

_____________________________________________ _________________HANDTEKENING VAN WERKGEWER/TOESIGHOUER DATUM

Ek erken dat ek mondelings gewaarsku was weens bostaande insident.

_______________________________ _________________HANDTEKENING VAN WERKNEMER DATUM

Die inhoud van hierdie dokument is deur my aan die werknemer getolk vanuit _______________ na __________________, en *hy/sy het aangedui dat hy/sy dit verstaan.

________________________ _________________HANDTEKENING VAN TOLK DATUM

Ek was as getuie teenwoordig toe die werknemer deur die werkgewer mondelings gewaarsku was vir bostaande insident.

__________________________ _________________HANDTEKENING VAN GETUIE DATUM* Skrap waar nie van toepassing

9

VERBAL WARNING

NAME OF EMPLOYEE: ________________________________________________

EMPLOYEE NR OR ID NR: ________________________________________________

1. You are hereby notified that it was found that you committed an offence/displayed unacceptable conduct/*your standard of work is unacceptable in that you, on ____________ (date) at ____________________(time) at or near ___________________________(place).

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

2. Since the above conduct is deemed by the employer as of a less serious nature, you are warned verbally by the employer, to refrain from such conduct in future and assure that your conduct conforms to the prescribed standard.

3. You are further informed that an entry regarding the said Verbal Warning will be filed on your personnel file, where it will remain in force for six months from the date on which this warning had been issued. This warning will lapse on ______________________ .

____________________________________ _______________________SIGNATURE OF EMPLOYER/SUPERVISOR DATE

I acknowledge that I have received a verbal warning for the incident mentioned above.

________________________ _______________________SIGNATURE OF EMPLOYEE DATE

The contents of this document was interpreted by me to the employee from______________to ________________, and *he/she indicated that *he/she understood.

___________________________ _______________________SIGNATURE OF INTERPRETER DATE

I was present and witnessed the employee receiving the verbal warning as referred to above.

__________________________ _______________________SIGNATURE OF WITNESS DATE


10

SKRIFTELIKE WAARSKUWING

NAAM VAN WERKNEMER: ________________________________________________

WERKNEMER NO OF I.D. NO: ________________________________________________

1. U word hiermee Skriftelik Gewaarsku vir wangedrag deurdat u ‘n bepaling van die dissiplinêre kode oortree het, te wete dat u op die ________ dag van _________________ die volgende wangedrag begaan het:

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. Hierdie waarskuwing moet as ernstig beskou word en voortsetting van gemelde onaanvaarbare gedrag sal tot strenger optrede teen u aanleiding gee.

Hiermee word gesertifiseer dat die inhoud van die waarskuwing aan die werknemer verduidelik was en dat *hy/sy aangedui het dat *hy/sy dit verstaan. ‘n Afskrif van die skriftelike waarskuwing is op *sy/haar persoonlike lêer geplaas. Hierdie Skriftelike Waarskuwing sal van krag bly vir ses maande vanaf die datum van uitreiking. Hierdie waarskuwing verval dus op _________________________.

_____________________________________________ _______________________HANDTEKENING VAN WERKGEWER/TOESIGHOUER DATUM

Ek erken dat die inhoud van die Skriftelike Waarskuwing aan my verduidelik is, en dat ek dit verstaan.

_______________________________ _______________________HANDTEKENING VAN WERKNEMER DATUM

Die inhoud van die dokument is deur my aan die werknemer getolk vanuit ________________ na ________________, en *hy/sy het aangedui dat * hy/sy dit verstaan.

________________________ _______________________HANDTEKENING VAN TOLK DATUM

Ek was as getuie teenwoordig toe die werknemer skriftelik gewaarsku was vir bostaande wangedrag.

__________________________ _______________________HANDTEKENING VAN GETUIE DATUM


11

WRITTEN WARNING

NAME OF EMPLOYEE: ________________________________________________

EMPLOYEE NR OR I.D. NR: ________________________________________________

1. Your are hereby warned in writing for having contravened a provision of the disciplinary code in that you, on the ________ day of _________________ committed the following misconduct:

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. This warning should be regarded as very serious and if you continue this unacceptable conduct , it would lead to more serious action being taken against you.

I certify that the contents of this warning was explained to the employee and that *he/she indicated that *he/she understood. A copy of this written warning will be filed on his/her personnel file, where it will remain in force for six months from the date of issue. This warning will lapse on _________________.

_____________________________________ _______________________SIGNATURE OF EMPLOYER/ SUPERVISOR DATE

I acknowledge that this Written Warning was issued to me, that the contents were explained to me and that I understood.


The contents of this document was interpreted by me to the employee from _________________ to ________________, and *he/she indicated that *he/she understood.


I was present and witnessed the warning being issued to the employee for the misconduct as mentioned above.



12

FINALE SKRIFTELIKE WAARSKUWING



1. U word hiermee finaal gewaarsku vir wangedrag deurdat u op die ________ dag van _______________________ die volgende wangedrag begaan het: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. Die werkgewer het besluit om u hiermee finaal skriftelik te waarsku, aangesien u ten spyte van vorige waarskuwings uself weereens aan wangedrag skuldig gemaak het.

3. U gedrag is onaanvaarbaar vir die werkgewer en indien u gedrag nie onmiddellik verbeter nie, of indien u ‘n soortgelyke oortreding pleeg binne die volgende ses maande, sal ‘n Formele Verhoor saamgestel word.

4. U gedrag word beskou as teen-produktief vir die werkgewer se onderneming, en is ook nie bevorderlik vir die verhoudinge binne die werkplek nie. Hierdie aangeleentheid word deur die werkgewer in ‘n ernstige lig beskou en u behoort die saak in dieselfde ernstige lig te beskou.

5. Besonderhede van vorige waarskuwings op u persoonlike lêer:_________________________________________________________________________________________________________________________________________________________________

6. Hierdie Finale Skriftelike Waarskuwing verval op ____________________________________________.

_____________________________________________ _______________________HANDTEKENING VAN WERKGEWER/TOESIGHOUER DATUM

Ek erken dat hierdie Finale Skriftelike Waarskuwing aan my oorhandig is, en dat die inhoud daarvan aan my verduidelik is deur ________________________. Ek verstaan die inhoud en erns daarvan.


Die inhoud van hierdie dokument is deur my aan die werknemer getolk vanuit _________________ na _______________________ en *hy/sy het aangedui dat *hy/sy dit verstaan.


Ek was as getuie teenwoordig toe hierdie Finale Skriftelike Waarskuwing aan die werknemer oorhandig was.

__________________________ _______________________HANDTEKENING VAN GETUIE DATUM * Skrap waar nie van toepassing

13

FINAL WRITTEN WARNING

NAME OF EMPLOYEE: ____________________________________________________

EMPLOYEE NR OR I.D. NR: ____________________________________________________

1. You are hereby issued with a Final Written Warning for the following misconduct committed on the ___________________ day of _______________________.____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. You are informed that the employer has decided to issue you with a Final Written Warning due to the fact that despite having received previous warning/s you again made yourself guilty of misconduct.

3. Your behavior is unacceptable to the employer and if you do not improve with immediate effect, or if you commit another offence of similar nature within the next six months from this date, a Formal Hearing will be held.

4. Your conduct is considered to be counter-productive, detrimental to the employer’s business and damaging to the employment relationships at the workplace. The employer views your behavior as very serious and you are urged to view it in the same serious light.

5. Details of previous warnings as recorded and filed in your personnel file:_________________________________________________________________________________________________________________________________________________________________

6. This Final Written Warning laps on ______________________________________________________.


I acknowledge that his Final Written Warning was handed to me, and the contents were explained to me by ________________________________ and that I understood it.


The contents of this document were interpreted by me to the employee from _________________ to _______________________ and *he/she indicated that *he/she understood.


I was present and witnessed this Final Written Warning being issued to the employee.

__________________________ _______________________SIGNATURE OF WITNESS DATE* Delete where not applicable

14

KENNISGEWING VAN SKORSING(IN AFWAGTING VAN VERHOOR)



1. U word hiermee in kennis gestel dat u vanaf ontvangs van hierdie kennisgewing van diens geskors word, met volle betaling, weens die ernstige bewering van wangedrag wat tans hangende is teen u.

2. U sal so gou doenlik ‘n kennisgewing ontvang om voor ‘n dissiplinêre verhoor te verskyn.

3. Indien u weier of versuim om die verhoor by te woon kan die verhoor in u afwesigheid voortgesit en afgehandel word. Sodanige weiering of versuim sal geinterpreteer word as sou u afstand gedoen het van u reg op ‘n verhoor.

4. U moet alle sleutels en ander kritieke uitrusting wat aan die werkgewer behoort onmiddellik aan u *toesighouer/bestuurder, mnr/me __________________ oorhandig.

5. U moet die perseel verlaat nie later dan ________________(tyd) op ________________

6. Indien u enige voorlegging wil maak met betrekking tot u skorsing moet dit voor ___________ om _______________ aan die werkgewer oorhandig word.

_____________________________________________ ______________________HANDTEKENING VAN WERKGEWER/TOESIGHOUER DATUM

Ek erken dat hierdie kennisgewing van skorsing aan my oorhandig is, en dat die inhoud daarvan aan my verduidelik is deur __________________. Ek verstaan die inhoud daarvan en my reg om ‘n voorlegging in verband daarmee te maak. Ondertekening hiervan impliseer geensins enige erkenning nie maar dien bloot as erkenning van die ontvangs daarvan.

_______________________________ ______________________HANDTEKENING VAN WERKNEMER DATUM

Die inhoud van hierdie dokument is deur my aan die werknemer getolk vanuit _______________ na __________________ en *hy/sy het aangedui dat *hy/sy dit verstaan.

________________________ ______________________HANDTEKENING VAN TOLK DATUM

Ek was as getuie teenwoordig toe hierdie kennisgewing van skorsing aan die werknemer oorhandig was.

__________________________ ______________________HANDTEKENING VAN GETUIE DATUM Skrap waar nie van toepassing

15

NOTICE OF SUSPENSION(IN ANTICIPATION OF A HEARING)

NAME OF EMPLOYEE: ________________________________________________


1. You are hereby notified that you are being suspended from duty, with full pay, from the date of this notice due to a serious allegation of misconduct pending against you.

2. You will receive a notice to appear at a disciplinary hearing as soon as possible.

3. Should you fail or refuse to attend the disciplinary hearing, it could be concluded in your absence. Such a failure or refusal will be interpreted as a waiver of your right to a hearing.

4. You must immediately return all keys and other critical equipment that belongs to the employer and it must be handed to your *supervisor/manager, mr/mrs _________________.

5. You are to leave the premises no later than _____________ (time) on ___________________.

6. Should you wish to make any submission regarding your suspension, it should be handed to the employer before _____________ by _______________.


I acknowledge having received this notice and that the contents were explained to me by ___________________. I understand the contents thereof as well as my right to any submission being considered by the employer. The signing of this notice does not imply any admission of whatever nature, but serves exclusively as acknowledgement of receipt.

__________________________ _______________________SIGNATURE OF EMPLOYEE DATE

The contents of this notice were interpreted by me to the employee from ______________________ to _____________________ and * he/she indicated that * he/she understood.

__________________________ _______________________SIGNATURE OF INTERPRETER DATE

I was present and witnessed this notice being handed to and explained to the employee.


Delete where not applicable

16

KENNISGEWING VAN DISSIPLINêRE VERHOOR



1. U word hiermee aangesê om by ‘n formele dissiplinêre verhoor te verskyn in verband met beweerde wangedrag vir ‘n dissiplinêre ondersoek te:

Plek: ________________ Datum: _______________ Tyd: _________________

2. Die doel van die ondersoek sal wees om vas te stel of u uself skuldig gemaak het aan die volgende wangedrag:

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

3. Die verhoor sal in *Afrikaans/Engels gehou word. Geliewe my vooraf in kennis te stel indien u ‘n tolk benodig sodat die nodige reëlings getref kan word.

4. U regte tydens die verhoor behels die volgende:

om tydens die verhoor verteenwoordig te word deur ‘n vakbondverteenwoordiger of ‘n mede werknemer

om getuies wat namens die werkgewer geroep word te kruisondervra om u kant van die saak te stel deur self te getuig om getuies te roep om namens u te getuig om van die dienste van ‘n tolk gebruik te maak indien die verrigtinge in ‘n ander taal as u

moedertaal gehou word. toegang tot alle relevante inligting wat as getuienis gebruik staan te word.

5. Indien u nalaat of weier om die verhoor by te woon en versuim om die tribunaal van aanvaarbare en regverdige redes vir u afwesigheid te voorsien, kan die verhoor in u afwesigheid voortgesit en afgehandel word. Sodanige versuim of weiering sal geïnterpreteer word as sou u afstand gedoen het van u reg op ‘n verhoor.

____________________________________________ _________________HANDTEKENING VAN WERKGEWER/TOESIGHOUER DATUM

Hierdie Kennisgewing is aan die werknemer persoonlik oorhandig op ____________________ (datum) om _______________ (tyd) te ________________ (plek) deur __________________.

Handtekening van persoon wat Kennisgewing oorhandig: ___________________________________

ERKENNING VAN ONTVANGS DEUR WERKNEMER: _____________________________________


17

NOTICE OF DISCIPLINARY HEARING

NAME OF EMPLOYEE: ________________________________________________


1. You are hereby instructed to appear at a formal disciplinary hearing, before a tribunal, for the purpose of a disciplinary inquiry, at:

Place: ________________ Date: ______________ Time: _________________

2. The purpose of the disciplinary inquiry will be to establish whether you have committed the following misconduct as alleged:

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

3. The hearing will be conducted in *Afrikaans/English. Please inform me whether you would make use of an interpreter.

4. Your rights concerning the hearing will be the following:

to be represented at the hearing by a union representative or a fellow employee to cross-examine witnesses called on behalf of the employer to present your case by testifying on your own behalf to call witnesses in support of your own case to an interpreter to interpret the proceedings, if the hearing is not conducted in your mother

tongue access to all relevant information intended to be used as evidence by the employer.

5. If you fail or refuse to attend the hearing, and fail to provide the tribunal with acceptable and legitimate reasons for your absence, the hearing may be conducted in your absence, and finalized without you being present. Such failure or refusal will be interpreted to imply that you have waived your right to a hearing.

____________________________________ _________________SIGNATURE OF EMPLOYER/SUPERVISOR DATE

This Notice was served on the employee personally, on __________________ (date) at _______________ (time) at __________________ (place) by ________________________________.

Signature of person who served this notice on the employee: ________________________________

ACKNOWLEDGEMENT OF RECEIPT BY EMPLOYEE: ____________________________________*Delete if not applicable

18

AMPTELIKE NOTULE VAN DISSIPLINêRE VERHOOR

TEENWOORDIG:

Voorsitter :_______________________________________________

Aanvoerder :_______________________________________________

Tolk :_______________________________________________

Werknemer (Beskuldigde) :_______________________________________________

Werknemer se Verteenwoordiger :_______________________________________________

Datum ___________________________________

Tyd ___________________________________

Plek ___________________________________

Voortsetting op / / /

INLEIDING:

Verduidelik die prosedure en protokol.

Stel vas of die dienste van ‘n tolk benodig word.

Stel vas of die partye wel kennis van die verhoor ontvang het en voldoende tyd gehad het om voor te berei.

AANKLAGTE:

Lees die aanklagte soos vervat in die kennisgewing van verhoor en vra die werknemer om op elke aanklag te pleit of skuldig of onskuldig.

1. _________________________________________________________________________

2. _________________________________________________________________________

3. _________________________________________________________________________

4. _________________________________________________________________________

5. _________________________________________________________________________

19

OPSOMMING VAN DIE WERKGEWER SE SAAK:

Maatskappy se getuie nr :_____________

Naam :___________________________________________________

Hoedanigheid :___________________________________________________

Opsomming van getuienis :___________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

20

Onthou om geleentheid te gee vir kruisondervraging.

* Maatskappy of werknemer se getuie nr: _____________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

21


OPSOMMING VAN DIE WERKNEMER SE SAAK:

Werknemer se getuie nr :_____________

Naam :___________________________________________________

Hoedanigheid :___________________________________________________

Opsomming van getuienis :___________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

22

_________________________________________________________________________

Onthou om geleentheid te gee vir kruisondervraging.

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

23

_________________________________________________________________________

_________________________________________________________________________

AANVOERDER SE AFSLUITINGS BETOOG:

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________________________________

DIE WERKNEMER OF SY/HAAR VERTEENWOORDIGER SE AFSLUITINGS BETOOG:

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

Die voorsitter mag ook getuies roep om te kom getuig en kan ook getuies ondervra om aspekte uit te klaar indien dit nodig blyk te wees.

24

VERDAAG INDIEN NODIG OM BEVINDING TE OORWEEG.

Datum en tyd waarop verrigtinge weer ‘n aanvang sal neem ______________________

BEVINDING (op ‘n oorwig van waarskynlikhede)

1. Som die redes vir u bevinding kortliks op.

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

2. Bevinding: ______________________________________________(skuldig of onskuldig)

OORWEEG VERSAGTENDE EN VERSWARENDE OMSTANDIGHEDE

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

Gaan die werknemer se lêer na vir enige relevante inligting:

Is enige vorige waarskuwings steeds van krag?

VERDAAG INDIEN NODIG OM ‘N TOEPASLIKE SANKSIE TE OORWEEG

25

Datum en tyd waarop verrigtinge weer ‘n aanvang sal neem ___________________________

SANKSIE:

Oorweeg die volgende aspekte behoorlik voor die oplê van ‘n sanksie:

Toelaatbare sanksies in terme van die dissiplinêre prosedure. Die erns van die oortreding. Is die werknemer/werkgewer verhouding onherstelbaar vernietig? Is die vertrouensverhouding geskend? Was daar enige provokasie wat tot die pleeg van die oortreding aanleiding gegee het?

STEL DIE WERKNEMER IN KENNIS VAN DIE SANKSIE WAT HOM/HAAR OPGELê WORD MET REDES VIR DIE BESONDERE SANKSIE.

1. SANKSIE OPGELê: _____________________________________________________ _________________________________________________________________________

_________________________________________________________________________

2. REDES VIR SANKSIE: ___________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

Stel die werknemer in kennis van sy/haar reg op appél en die tydbeperking daaraan verbonde.

Indien ‘n waarskuwing as ‘n sanksie opgelê word voltooi en onderteken die voogeskrewe vorm.

Indien die werknemer ontslaan word verduidelik aan laasgenoemde of die ontslag summier is en of hy/sy ‘n kennisgewingstydperk moet werk.

Verseker dat die diensbeëindiging skriftelik bevestig word.

Plek : _________________

Datum: _________________

26

Tyd : _________________ __________________________ (Handtekening van Voorsitter)

27

OFFICIAL RECORD OF DISCIPLINARY HEARING

PRESENT:

Chairperson : ________________________________________________

Initiator : ________________________________________________

Interpreter : ________________________________________________

Employee (accused) : ________________________________________________

Employee’s Representative: ________________________________________________

Date ___________________________________

Time ___________________________________

Venue ___________________________________

Reconvened on / / /

INTRODUCTION:

Explain the procedure and protocol.

Establish whether an interpreter is required.

Establish whether the parties received notification and had sufficient time to prepare.

CHARGES:

Read out the charges on the notice sent to the employee and ask the employee to plead on each charge either guilty or not guilty.

1. _________________________________________________________________________

2. _________________________________________________________________________

3. _________________________________________________________________________

4. _________________________________________________________________________

5. _________________________________________________________________________

28

SUMMARY OF EMPLOYER’S CASE:

Company Witness No: _____________

Name : ___________________________________________________

Position : ___________________________________________________

Summary of evidence ___________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

29

_________________________________________________________________________ Remember to allow cross-examination

* Company or Employee’s Witness No: _____________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

30

* Delete which is not applicable

SUMMARY OF EMPLOYEE’S CASE:

Employee’s Witness No: _____________

Name: : ___________________________________________________

Position: : ___________________________________________________

Summary of evidence ___________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

31

_________________________________________________________________________

Remember to allow cross-examination.

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

32

_________________________________________________________________________

_________________________________________________________________________

INITIATOR’S CLOSING STATEMENT:

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________________________________

EMPLOYEE’S OR HIS/HER REPRESENTATIVE’S CLOSING STATEMENT:

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

The chairperson may also call witnesses or ask any witness questions to clarify issues if necessary.

33

ADJOURN IF NECESSARY TO CONSIDER FINDINGS.

Date and time to reconvene ______________________

FINDING (Balance of Probabilities)

3. Summarise the reasons for your finding.

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

4. Finding: _______________________________________________(guilty or not guilty)

CONSIDER MITIGATING CIRCUMSTANCES/FACTORS AND EXTENUATING FACTORS

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

Check the employee’s file for relevant information:

Are there any warnings that are still in effect?

ADJOURN IF NECESSARY TO CONSIDER THE SANCTION.

34

Date and time to reconvene ___________________________

SANCTION:

Give due regard to the following before imposing a sanction:

Sanctions allowed in terms of the disciplinary procedure. The seriousness of the offence. Has the employee-employer relationship been irrevocably damaged? Has the relationship of trust been compromised? Was there any provocation that led to the misconduct?

INFORM THE EMPLOYEE OF THE SANCTION THAT IS BEING IMPOSED WITH REASONS FOR THE SANCTION.

3. SANCTION IMPOSSED: _________________________________________________ _________________________________________________________________________

_________________________________________________________________________

4. REASONS FOR SANCTION: ______________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

Inform the employee of his/her right to appeal and the time limit allowed. If a warning is given as a sanction, complete and sign the necessary form. If the employee is dismissed explain whether he/she is dismissed summarily or on notice and whether he/she

will be expected to serve his/her notice. Ensure letter is sent to confirm termination.

Place: _________________

Date: _________________

Time: _________________ __________________________ (Signature of Chairperson)

35

AANHANGSEL DDISSIPLINêRE VERSLAG


WERKNEMER NO OF I.D NO: ________________________________________________

U is op _______________________ skuldig bevind daaraan dat u wangedrag gepleeg het.

Wangedrag waaraan skuldig bevind:

DISSIPLINêRE SANKSIE OPGELê:

a. Skriftelike Waarskuwing

b. Finale Skriftelike Waarskuwing

c. Skorsing van diens sonder salaris vanaf __________________ tot ___________________

d. Afgedank met laaste werksdag op ____________________________________________

___________________________________________ ________________HANDTEKENING VAN VOORSITTER/WERKGEWER DATUM

Dissiplinêre sanksie asook reg van appèl aan die werknemer verduidelik en ‘n afskrif van die verslag aan die werknemer oorhandig:

_______________________________ ________________HANDTEKENING VAN WERKNEMER DATUM

_______________________________________ ________________HANDTEKENING VAN VERTEENWOORDIGER DATUM

36

ANNEXURE DDISCIPLINARY REPORT

NAME OF EMPLOYEE: ________________________________________________


You have been convicted of having committed misconduct on _________________________.

Misconduct convicted of:

DISCIPLINARY SANCTION IMPOSED:

a. Written Warning

b. Final Written Warning

c. Suspension from duty without pay as from _________________ to ___________________

d. Dismissed with last working day on: ___________________________________________

_____________________________________ ________________SIGNATURE OF CHAIRPERSON/EMPLOYER DATE

Disciplinary sanction as well as the right to appeal was explained to the employee and a copy of this report handed to him/her.

______________________ ________________EMPLOYEE’S SIGNATURE DATE

_____________________________ ________________REPRESENTATIVE’S SIGNATURE DATE

37

KENNISGEWING VAN SUMMIERE ONTSLAG(GEEN KENNISGEWINGSTYDPERK)



Geagte _______________________________

Tydens die dissiplinêre verhoor wat afgehandel is op _________________________________________ (datum)

is bevind dat u uself aan ernstige wangedrag skuldig gemaak het te wete:-_______________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________(Besonderhede van wangedrag)

Weens die feit dat u gedrag deur die werkgewer in ‘n baie ernstige lig en as onaanvaarbaar beskou word, is besluit dat u dienste vanaf die datum van hierdie Kennisgewing summier beëindig word.

U sal normale vergoeding ontvang vir dienste gelewer tot op die datum van hierdie Kennisgewing, asook verlofgeld vir opgehoopte verlof en oortyd aan u verskuldig. Betaling kan by u werkgewer afgehaal word op ______________________ om ______________________.

U moet die perseel verlaat nie later dan ________________________(tyd) op ___________________________.

U moet die sleutels, kritieke uitrusting en toerusting wat aan die werkgewer behoort onmiddellik aan u *toesighouer/werkgewer oorhandig.

___________________________________________________ _________________________HANDTEKENING VAN WERKGEWER/VERTEENWOORDIGER DATUM

Ek erken ontvangs van hierdie dokument, en neem kennis van die inhoud daarvan. Ondertekening hiervan impliseer geensins enige erkenning nie, maar dien bloot as erkenning van ontvangs daarvan.

______________________________ _________________________HANDTEKENING VAN WERKNEMER DATUM

Ek het die inhoud hiervan aan die werknemer getolk vanuit ________________________________ na _____________________. *Hy/sy het aangedui dat *hy/sy dit verstaan.

________________________ _________________________HANDTEKENING VAN TOLK DATUM


38

NOTICE OF SUMMARY DISMISSAL(NO NOTICE PERIOD)

NAME OF EMPLOYEE: ________________________________________________


Dear _______________________________

During the disciplinary hearing held on_______________________________________________________(date)

it was concluded that you made yourself guilty of the following misconduct:-______________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________(Particulars of misconduct)

Due to the fact that your conduct is considered by the employer to be of a serious and unacceptable nature, the employer has regrettably decided that your services will be terminated as from the date of this Notice.

You will receive your normal remuneration for services rendered to date of this Notice as well as leave pay for accrued leave and overtime due to you. Payment can be collected at the employer on ________________ at _________________________.

You must leave the premises not later than ______________________ (time) on ________________________.

All keys, clothing and equipment that belong to the employer must be handed to your *employer/supervisor immediately.

________________________________________ ___________________SIGNATURE OF EMPLOYER/REPRESENTATIVE DATE

I acknowledge receipt of this Notice, and take note of the contents. The signing of this notice does not imply any admission whatsoever, but serves exclusively as an acknowledgement of receipt.

______________________________ ___________________SIGNATURE OF EMPLOYEE DATE

The contents of this notice were interpreted by me to the employee from __________________ to _____________________ and *he/she indicated that *he/she understood.

__________________________ ___________________SIGNATURE OF INTERPRETER DATE* Delete if not applicable

39

KENNISGEWING VAN SKORSING(AS DEEL VAN SANKSIE)



1. U word hiermee in kennis gestel dat nademaal u tydens ‘n dissiplinêre verhoor gehou te __________________________________ op ‘n aanklag van wangedrag skuldig bevind is wat ‘n Finale Skriftelike Waarskuwing regverdig dat u vir ‘n tydperk van een week van diens geskors word in terme van klousule 17.3.3 van die Diensooreenkoms.

2. Die skorsing neem ‘n aanvang op __________________ en eindig op ____________________ [U moet diens hervat op _____________________________ om ____________________________]

3. U sal geen vergoeding ontvang vir vermelde week van skorsing nie.

4. U moet alle sleutels en ander kritieke uitrusting wat aan die werkgewer behoort onmiddellik aan u *toesighouer/bestuurder *Mnr/Me _____________________________ oorhandig.

5. U moet besef dat ‘n herhaling van soortgelyke gedrag tot u afdanking kan lei.

6. U moet die perseel verlaat nie later dan _____________(tyd) op ___________________________

________________________________ __________________WERKGEWER/VERTEENWOORDIGER DATUM

7. Hierdie kennisgewing is aan die werknemer persoonlik oorhandig op _____________________ om _____________ te ___________________________ deur ________________________________

Handtekening van persoon wat kennisgewing oorhandig: ________________________________

﴾Indien die werknemer weier om ter erkenning van ontvangs te teken moet ‘n getuie die vorm mede onderteken as bewys van oorhandiging daarvan).

8. Ek erken ontvangs van bovermelde kennisgewing. Ondertekening hiervan impliseer nie enige erkenning nie maar dien bloot as erkenning van ontvangs van die kennisgewing.

______________________________ _________________HANDTEKENING VAN WERKNEMER DATUM

9. Ek het die inhoud hiervan aan die werknemer getolk vanuit ________________________ na ________________________. *Hy/sy het aangedui dat *hy/sy dit verstaan.

________________________ _________________HANDTEKENING VAN TOLK DATUM* Skrap waar nie van toepassing

40

NOTICE OF SUSPENSION(AS PART OF SANCTION)

NAME OF EMPLOYER: ________________________________________________


1. You are herewith informed that since you were found to have committed misconduct during a disciplinary hearing held at __________________________ which misconduct justifies a final written warning, that you are being suspended from work for one week in terms of clause 17.3.3 of the Contract of Employment.

2. The suspension will be effective from _______________ and will terminate on ________________(You are to resume your duties on ________________________ at _______________________).

3. You will not be remunerated during the week of suspension.

4. You are instructed to return all keys and other critical equipment that belongs to the employer immediately. It must be handed to your immediate *supervisor/manager *Mr/Mrs _____________.

5. You must realize that a repeat of this misconduct might lead to your discharge.

6. You are to leave the premises not later than _____________ (time) on _____________________.

___________________________ __________________EMPLOYER/REPRESENTATIVE DATE

7. This notice was handed to the employee personally on _______________________________ at ________________________ at _______________________ by _________________________.

Signature of person delivering notice: ________________________________________________

﴾Should the employee refuse to acknowledge receipt of the notice, a witness must countersign the form as proof of delivery thereof).

8. I acknowledge receipt of this notice. This signing of this notice does not imply any admission whatsoever but serves only as acknowledgement of receipt.

________________________ _________________SIGNATURE OF EMPLOYEE DATE

9. The contents of this notice were interpreted by me to the employee from ________________ to ___________________ and *he/she indicated that *he/she understood.

___________________________ _________________SIGNATURE OF INTERPRETER DATE

* Delete if not applicable

41

KENNISGEWING VAN DIENSBEëINDIGING(KENNISGEWINGSTYDPERK)



Geagte _____________________

U word hiermee in kennis gestel dat die werkgewer na deeglike oorweging, besluit het om u dienste te beëindig in ooreenstemming met die bepalings van die Diensooreenkoms om die volgende redes:

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

U sal vergoeding ontvang vir dienste gelewer tot en met _______________(datum), die datum waarop u dienste beëindig sal word. U verlofgeld vir opgehoopte verlof en enige oortyd betaling aan u verskuldig sal ook op gemelde datum aan u uitbetaal word.

* U moet die voorgeskrewe kennisgewingstydperk werk, soos ooreengekom in die Diensooreenkoms, of

* U hoef nie tydens die kennisgewingstydperk te werk nie. U sal egter steeds u normale vergoeding ontvang vir die tydperk van kennisgewing.

________________________________ _______________________WERKGEWER/VERTEENWOORDIGER DATUM

Hierdie kennisgewing is aan die werknemer persoonlik oorhandig op ____________ om _________________________te ______________________deur ____________________________.

EK ERKEN ONTVANGS VAN HIERDIE KENNISGEWING EN NEEM KENNIS VAN DIE INHOUD DAARVAN.

____________________ _______________________WERKNEMER DATUM

Die inhoud hiervan is aan die werknemer getolk vanuit _________________________ na _____________. *Hy/sy het aangedui dat *hy/sy dit verstaan.



42

NOTICE OF TERMINATION OF SERVICE(NOTICE PERIOD)

NAME OF EMPLOYEE: ________________________________________________


Dear _____________________

You are informed that the employer has decided, after thorough consideration, to terminate your service in accordance with the Contract of Employment due to the following reasons:

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

You will be remunerated until _______________(date), the date upon which your services will be terminated. Your leave pay for accumulated vacation leave as well as any overtime due to you will also be paid to you on this day.

* You are required to work the prescribed notice period as agreed upon in the Contract of Employment.

or

* You will not be required to work the notice period. You will however, still receive your normal remuneration for this period.

___________________________ _____________________EMPLOYER/REPRESENTATIVE DATE

This notice was handed to the employee personally on ________________________ at _________________________at _______________________by _____________________________.

I ACKNOWLEDGE RECEIPT OF THIS NOTICE, AND TAKE NOTE OF THE CONTENTS THEREOF.

____________________ ____________________EMPLOYEE DATE

The contents of this notice were interpreted to the employee from _________________________ to ____________________. *He/she indicated that *he/she understood.

___________________________ ____________________SIGNATURE OF INTERPRETER DATE


43

AANHANGSEL GGRIEWE VORM

Naam van Werknemer: __________________________________________

Werknemer no. of I.D. no.: __________________________________________

Naam van werknemerverteenwoordiger: __________________________________________

Pos beklee deur werknemer: __________________________________________

AARD VAN GRIEF:

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

OPLOSSING VERLANG:

__________________________________________________________________________

__________________________________________________________________________

_________________________________ ____________________HANDTEKENING VAN WERKNEMER OF DATUMSY/HAAR VERTEENWOORDIGER

UITSLAG VAN GRIEF ONDERSOEK:

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

_______________________________________ ____________________HANDTEKENING VAN PERSOON DATUMWAT GRIEF HANTEER

44

ANNEXURE GGRIEVANCE FORM

Name of employee: __________________________________________

Employee nr or I.D. nr: __________________________________________

Name of Employee Representative: __________________________________________

Position of employee: __________________________________________

NATURE OF GRIEVANCE:

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

SOLUTION REQUIRED:

__________________________________________________________________________

__________________________________________________________________________

_____________________________________ ____________________SIGNATURE OF EMPLOYEE OR DATEHIS/HER REPRESENTATIVE

OUTCOME OF GRIEVANCE INVESTIGATION:

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

______________________________________ ____________________SIGNATURE OF PERSON DEALING DATEWITH GRIEVANCE

45

VERSOEK VIR ‘N APPèL


WERKNEMER NO OF I.D NO: ________________________________________________

Gronde / Redes vir appèl (gee volle besonderhede en indien nodig, heg aanhangsels hierby aan):

______________________________ _____________ ______________________HANDTEKENING VAN WERKNEMER DATUM VERTEENWOORDIGER

Ek erken ontvangs van die versoek vir ‘n appèl.

______________________________ ________________HANDTEKENING VAN WERKGEWER/ DATUMTOESIGHOUER

46

REQUEST FOR AN APPEAL

NAME OF EMPLOYEE: ________________________________________________

EMPLOYEE NR OR I.D NR: ________________________________________________

Reasons for request for appeal (give full details and if necessary attach full statement hereto):

______________________________ _____________ ______________________EMPLOYEE’S SIGNATURE DATE REPRESENTATIVE

Acknowledge receipt of the request for an appeal.

______________________________ ________________SIGNATURE OF EMPLOYER/ DATESUPERVISOR

47

KENNISGEWING VAN VRYWILLIGE DIENSBEëINDIGING DEUR WERKNEMERNOTICE OF VOLUNTARY TERMINATION OF SERVICE BY EMPLOYEE

NAAM VAN WERKNEMER:NAME OF EMPLOYEE: ________________________________________________

WERKNEMER NO OF I.D. NO:EMPLOYEE NR OR I.D. NR: ________________________________________________

Hiermee wens ek kennis te gee dat ek my dienste vrywillig wil beëindig.Notice is hereby given that I wish to voluntary terminate my services.

My laaste werksdag sal wees op : My last day of work will be on : ____________________

Ek het kennis geneem van die volgende met betrekking tot my diensbeëindiging:I have taken notice of the following with regards to my termination:

Enige maatskappy eiendom in my besit moet op of voor my laaste werksdag by die werkgewer ingehandig word.Any company property in my possession must be returned to the employer on or before my last working day.

My bloukaart, dienssertifikaat en alle uitstaande gelde aan my verskuldig sal op my laaste werksdag aan my oorhandig word, welke ek aanvaar as volle en finale skikking van enige eise wat ek teen die werkgewer mag hê.My bluecard, certificate of service as well as all outstanding money owed to me will be handed to me on my last working day, which I accept as full and final settlement of any claim I might have against the employer.

Amptelike wooneenhede wat deur my bewoon word moet nie later nie dan 30 (dertig) dae na beëindiging van diens deur my ontruim wees.Official dwellings occupied by me must be vacated no later than 30 (thirty) days after the date on which my services are terminated.

Ek onderneem om geen eis teen die werkgewer in te stel, in enige forum, rakende die vrywillige beëindiging van my dienste nie.I undertake not to institute any claim, in whatever forum, against the employer regarding the voluntary termination of my services.

_________________________ _______________________HANDTEKENING/SIGNATURE DATUM/DATE

Ontvangs van die kennisgewing van diensbeëindiging word hiermee erken.Receipt of the notice of termination of service is hereby acknowledged.

____________________________________ _______________________HANDTEKENING VAN WERKGEWER / DATUM/DATESIGNATURE OF EMPLOYER

48

DIENSVERLATING



Geagte ______________________

U het sedert ___________________ nie vir diens aangemeld nie. U het ook versuim om die werkgewer in kennis te stel van die rede vir u afwesigheid soos in u Diensooreenkoms vereis.

U versuim om vir diens aan te meld of om die werkgewer in kennis te stel van die rede vir u afwesigheid impliseer volgens die Diensooreenkoms dat u eensydig besluit het om die diensverhouding te beëindig.

U moet die werkgewer kontak voor of op __________________ voor sluiting van besigheid om _____________. Indien u versuim om hieraan te voldoen sal aanvaar word dat u gedros het wat tot gevolg sal hê dat u diens onmiddellik beëindig sal word.

U sal vergoeding ontvang tot die laaste dag wat u gewerk het wat op __________________ was. Ander voordele aan u verskuldig sal ook aan u uitbetaal word tot op hierdie dag.

Hierdie kennisgewing was per geregistreerde pos na die volgende adres gestuur wat die laasbekende adres op rekord van die werknemer is:

___________________________________

___________________________________

___________________________________

OF

Hierdie kennisgewing was persoonlik aan die werknemer oorhandig.

_______________________________ _________________HANDTEKENING VAN WERKGEWER DATUM

49

DESERTION

NAME OF EMPLOYEE: ________________________________________________


Dear ______________________

You have not reported for duty since ___________________ and you have also failed to inform your employer of the reason for your failure to report for duty as is required in your Contract of Employment.

According to the Contract of Employment failure to report for duty or to report the reason for your absence implies a unilateral termination of employment.

You are required to contact the employer on or before __________________ before close of business at _____________. Should you fail to adhere to this it will be taken for granted that you have deserted which would lead to the immediate termination of your services.

You will receive your normal remuneration for services rendered until the last date you had worked on __________________ as well as leave pay and overtime due to you.

This notice was sent by registered mail to the following address which is the last known address of the employee:

___________________________________

___________________________________

___________________________________

OR

This notice was handed to the employee personally.

_______________________________ _________________SIGNATURE OF EMPLOYER DATE

50

KENNISGEWING VAN VOORGENOME AFLEGGING



Geagte ________________________________

As gevolg van die volgende omstandighede gebaseer op ekonomiese, tegnologiese, struktuele of soortgelyke redes:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

oorweeg die *maatskappy/onderneming/werkgewer afleggings en verlang u skriftelike reaksie hierop so gou doenlik maar nie later as by sluiting van besigheid op ____________________________________________________________ (een week).

Indien u enige alternatiewe voorstelle aan die hand kan doen om afleggings te voorkom, verneem ons graag dringend daarvan en sal ernstige oorweging daaraan geskenk word. Indien ons nie met u voorstelle saamstem of dit as onuitvoerbaar bestempel, sal ons u van die rede voorsien waarom ons nie saamstem nie.

Sodra die konsultasie proses met uself of u verteenwoordigende liggaam afgehandel is sal bestuur die werknemers wat geraak word dienooreenkomstig inlig.

Wees asseblief verseker dat bestuur gepoog het om hierdie situasie te vermy maar dat hulle huidiglik geen ander alternatief het nie.

Die uwe

_______________________________ _____________________HANDTEKENING VAN WERKGEWER DATUM

Ek erken ontvangs van hierdie kennisgewing. Die inhoud daarvan was aan my verduidelik.

_______________________________ _____________________HANDTEKENING VAN WERKNEMER DATUM

Die inhoud hiervan is aan die werknemer getolk vanuit _________________________ na _________________________. *Hy/sy het aangedui dat *hy/sy dit verstaan.

________________________ _____________________HANDTEKENING VAN TOLK DATUM


51

NOTICE OF ANTICIPATED RETRENCHMENT

NAME OF EMPLOYEE: ________________________________________________


Dear ______________________

Due to the following circumstances based on the *economic, technological, structural or similar needs:__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

the *company/undertaking/employer are considering retrenchments and need your written reaction to this as soon as possible but not later than close of business on ___________________ (one week).

Should you have any alternative suggestions to avoid retrenchment, we would gladly consider these proposals urgently. If we disagree with these proposals or the feasibility thereof, we will state the reasons for doing so.

Once the consultation process with yourself or your representative body has been completed, Management will advise the affected employees accordingly.

Please note that Management has attempted to avoid this situation, but unfortunately have no other alternatives at present.

Yours faithfully

________________________ ___________________SIGNATURE OF EMPLOYER DATE

I acknowledge receipt of this notice. The contents of which were explained to me.

________________________ ___________________SIGNATURE OF EMPLOYEE DATE

The contents of this document were interpreted by me to the employee from _______________________ to _________________________________ and he/she indicated that he/she understood.

___________________________ ___________________SIGNATURE OF INTERPRETER DATE

*Delete if not applicable

52

NAAM VANWERKNEMER: ________________________________

WERKNEMER NO/I.D. NO : ________________________________

ADRES : ________________________________________________________________

________________________________

________________________________

___________________________20___

__________________________

__________________________

__________________________(ADRES VAN WERKGEWER)

AANSOEK OM VRYWILLIGE AFLEGGING

1. Ek doen hiermee aansoek om ‘n vrywillige afleggingspakket soos aangebied deur die werkgewer.

2. Ek aanvaar hiermee die pakket soos aangebied en erken dit as volle en finale betaling van enige en alle eise tussen myself en die werkgewer.

3. Ek besef dat die rede waarom die afleggingspakket aangebied is verband hou met die werkgewer se heersende omstandighede. Ek wil egter wel in aanmerking kom vir herindiensneming sou die werkgewer se posisie verbeter en ‘n pos waarvoor ek geskik sal wees, beskikbaar raak.

4. Ek sal my dienste beëindig op ____________________.

_______________________________ ________________HANDTEKENING VAN WERKNEMER DATUM

54

NAME OFEMPLOYEE : ________________________________

EMPLOYEE NR/I.D. NR : ________________________________

ADDRESS : ________________________________________________________________

________________________________

________________________________

___________________________20___

__________________________

__________________________

__________________________(ADDRESS OF EMPLOYER)

APPLICATION FOR VOLUNTARY RETRENCHMENT

1. I hereby apply for a voluntary retrenchment package as offered by the employer.

2. I accept the package as offered to me and acknowledge this to be a full and final settlement of all claims between the employer and myself.

3. I realise that the reason why a retrenchment package was offered to me pertains to the prevailing circumstances of the employer. I however wish to be considered for possible re-employment should the circumstances of the company improve and a position in which I can be employed becomes available.

4. I will terminate my services on ____________________.

________________________ _______________SIGNATURE OF EMPLOYEE DATE

55

KENNISGEWING VAN AFLEGGING

NAAM VAN WERKNEMER: ___________________________________________


Geagte ________________________

Met verwysing na die kennisgewing van aflegging vir operasionele vereistes aan alle werknemer op _____________ 20___ is na konsultasie met die* Unie/Werknemers besluit dat *Maatskappy/Onderneming/Werkgewer geen ander keuse het as om u posisie oorbodig te verklaar nie.

U laaste werkdag sal wees op ____________________ 20__, en u sal betaal word tot op ________________ 20___ (kennisgewingsperiode).

U sal die volgende ontvang bo en behalwe u maandelikse salaris tot op die dag van diensbeëindiging (________________ 20___)

U afleggingspakket sal uit die volgende bestaan:

1. Een week se vergoeding vir elke voltooide diensjaar in diens van die *maatskappy/onderneming/werkgewer (in geval van MIBCO twee weke se vergoeding vir die eerste 4 jaar diens en een week vergoeding daarna tot ‘n maksimum van 8 jaar.

Datum van aansluiting by die Maatskappy _______: _______ jaar: R ______ X ______= R __________

2. Betaling van opgehoopte verlof ( _________ dae): R __________

3. Betaling van pro-rata bonus: R __________

4. * __________ weke se ex-gratia betaling: R __________

5. Kennisgewing betaling (__________ weke): R __________

6. Betaling vir oortyd aan u verskuldig: R __________

Totaal R

Geliewe op die volgende te let:

(a) Normale aftrekkings sal steeds van toepassing wees.

(b) Pensioen bydraes - u moet besluit of u privaat met die maandelikse betaling wil voortgaan en of u pensioengeld aan u uitbetaal moet word. Onthou asseblief dat die bedrag wat aan u uitbetaal word, belasbaar is.

(c) U WFV kaart sal onderteken en aan u oorhandig word.

(d) U sal ook ‘n Dienssertifikaat ontvang.

U posisie sal nie in die toekoms gevul word nie. Indien die omstandighede van die besigheid egter in die volgende jaar verbeter, sal die moontlikheid van u herindiensneming ondersoek word.

Daar was nie ligtelik besluit op afleggings nie, dit was gedoen ten einde die voortbestaan en stabiliteit van die besigheid te verseker waarsonder die besigheid tot niet sou gaan en die werksgeleenthede van al die werknemers in gedrang sou kom.

Bestuur aanvaar dat die kennisgewing tydperk in besonder moeilik sal wees en waardeer byvoorbaat u samewerking tydens die tydperk. Indien daar enige navrae na aanleiding van hierdie kennisgewing ontstaan of indien daar enige ander wyse is waarop ons u van hulp kan wees, nooi ons u uit om die vrymoedigheid te neem om ons te nader.

Die uwe

_______________________________ ____________________________HANDTEKENING VAN WERKGEWER DATUM* Opsioneel

56

RETRENCHMENT NOTICE

NAME OF EMPLOYEE: ________________________________________________


Dear ______________________

With reference to the notification of dismissal based on operational requirements to all employees dated __________ 20___, and subsequent consultations between the *Union/Employees and the *company/undertaking/employer we regrettably have no other option than to declare your position redundant and to retrench you.

Your last day of service will be ________ 20___, but you will be paid up to _________ 20___ (notice period).

You will receive the following in addition to normal wages due to you up to the termination date (_________ 20___):

Your retrenchment package will amount to:

1. One week’s wages for every completed year of service in the employment of the *company/undertaking/employer (in case of MIBCO two weeks salary for the first 4 years and one week thereafter for a maximum of 8 years).

Date of joining the Company is _________ : ________ years: R_______ x _______ R____________

2. Payment of accumulated leave due to you ( ________ days): R____________

3. Payment of pro-rata bonus: R____________

4. *_______ week ex-gratia payment: R____________

5. Notice pay (___________weeks): R____________

6. Payment for overtime which is due: R____________

Total R

Please note:

(a) Normal deductions will still be applicable.

(b) Pension contributions – you have to decide whether you want to continue with your contributions privately, or whether you want to have your pension money paid out to you. If you decide to have the money paid out to you, we remind you that this amount is taxable.

(c) Your UIF card will be signed and handed over to you.

(d) You will also receive a Certificate of service.

Your position will not be filled in the future. If this position becomes available or the circumstances of the business changes in the next year, the possibility of re-employment will be investigated.

Retrenchment is not a step lightly taken by Management, and has been done so as to secure the long-term future and stability of the business, without which it may be unsuccessful, which would jeopardise the employment of all Employees.

We appreciate that the notice period in particular may be difficult, and we appreciate your co-operation during this period. If there are any queries arising from this notice, or any other way in which we may be able to assist you, please do not hesitate to contact me.

Yours faithfully

_________________________ _____________________ SIGNATURE OF EMPLOYER DATE * Optional

57

OFFISIëLE REKORD VAN SWAK WERKSPRESTASIEVERGADERING

TEENWOORDIG:

TOESIGHOUER: ___________________________________________

NAAM VAN WERKNEMER: ___________________________________________

WERKNEMERVERTEENWOORDIGER:___________________________________________

Datum _________________________

Tyd _________________________

Plek _________________________

Vergadering no _________________________

INLEIDING:

Verduideliking van prosedure.

Rede vir die vergadering.

Beskryf die handeling of versuim wat die hou van hierdie vergadering genoodsaak het:____

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

Watter prestasiestandaard of vereiste van die werkgewer is nie deur die werknemer behaal nie (bv. – tydraam, kwaliteit of kwantiteit):________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

Redes voorgehou deur werknemer vir sy/haar swak werksprestasie: ___________________

_________________________________________________________________________

_________________________________________________________________________

58

AANBEVOLE AKSIESTAPPE VIR REGSTELLING VAN SWAK WERKSPRESTASIE:

Deur werknemer:___________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

Deur werkgewer:___________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

Aksiestappe vir regstelling van swak werksprestasie waarop ooreengekom is:___________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

Werksprestasie sal gemonitor word deur:_______________________________________

OPVOLGVERGADERING:

Datum _________________________

Tyd _________________________

Plek _________________________

_________________________________ _________________________________HANDTEKENING VAN TOESIGHOUER HANDTEKENING VAN WERKNEMER

OF SY/HAAR VERTEENWOORDIGER

59

OFFICIAL RECORD OF POOR WORK PERFORMANCE MEETING

PRESENT:

SUPERVISOR: __________________________________________

EMPLOYEE’S NAME: __________________________________________

EMPLOYEE REPRESENTATIVE: __________________________________________

Date _________________________

Time _________________________

Venue _________________________

Meeting nr _______________________

INTRODUCTION:

Explain the procedure.

Reason for the meeting.

Describe the act or omission that necessitated this meeting: _______________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

Which performance standard is not being met by the employee (for instance – time frame, quality or quantity) _________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

Reasons advanced by employee for his/her poor performance: ______________________

_________________________________________________________________________

_________________________________________________________________________

60

STEPS RECOMMENDED TO RECTIFY THE POOR WORK PERFORMANCE:

By employee: ______________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

By employer: ______________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

Action steps agreed upon: ___________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

Performance to be monitored by: ______________________________________________

FOLLOW UP MEETING:

Date _______________________

Time _______________________

Venue _______________________

_________________________ _______________________________SIGNATURE OF SUPERVISOR SIGNATURE OF EMPLOYEE

OR HIS/HER REPRESENTATIVE

61

AANSOEK OM VERLOF/APPLICATION FOR LEAVE

NAAM VAN WERKNEMER:NAME OF EMPLOYEE: ____________________________________________________

WERKNEMER NO OF I.D. NO:EMPLOYEE NR OR I.D. NR: ____________________________________________________

Ek doen hiermee aansoek om verlof soos hieronder uiteengesit. I hereby apply for leave as set out below.

A. AARD VAN VERLOF (Kategorie): NATURE OF LEAVE (Category)

Vakansieverlof Siekteverlof KraamverlofVacation leave Sick leave Maternity leave

Gesinsverantwoordelikheidsverlof OnbetaaldeverlofFamily responsibility leave Unpaid Leave

B. DATUMS (Die eerste en laaste datum ingesluit) DATES (Inclusive of the first and last date)

Vanaf/From: _____________________ Tot/To: __________________

Ek sal my dienste hervat op :I will resume my duties on : _____________________

C. HUIDIGE STAND VAN GEAKKUMULEERDE VERLOFPRESENT POSITION OF ACCUMULATED LEAVE

VakansieverlofVacation leave ___________________

SiekteverlofSick leave ___________________

KraamverlofMaternity leave ___________________

GesinsverantwoordelikheidsverlofFamily Responsibility Leave ___________________

_______________________ __________________WERKNEMER/EMPLOYEE DATUM/DATE

GOEDGEKEUR/NIE GOEDGEKEUR NIEAPPROVED/NOT APPROVED

_____________________ __________________WERKGEWER/EMPLOYER DATUM/DATE

62

VERLOFSTAAT/LEAVE RECORDNAAM VAN WERKNEMER:NAME OF EMPLOYEE: _______________________________________________________________________

WERKNEMER NO/ID:EMPLOYEE NR/ID: _______________________________________________________________________

Indiensnemingdatum Date of appointment ____________

Aanvangsdatum verlofsiklus Commencement date of leave cycle ______________

Jaar Year ____________

Verlof volgens DiensooreenkomsLeave according to Contract of Employment

______________

Vakansieverlof Vacation leave ____________

Siekteverlof Sick leave ______________

GesinsverantwoordelikheidsverlofFamily Responsibility Leave ____________

AARD VAN VERLOF/NATURE OF LEAVE

VerloftydperkPeriod of leave

Aantal daeNumber of days

VakansieverlofVacation leave

SiekverlofSick leave

KraamverlofMaternity leave

Gesinsverantw.Family respons.

Van/From Tot/To

GEAKKUMULEERDE VERLOF/ACCUMULATED LEAVE

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Jan / JanFeb / FebMrt / MrchApr / AprMei / MayJun / JunJul / JulAug / AugSept / SeptOkt / OctNov / NovDes / Dec

Verlof oorgedra na volgende jaar: Vakansieverlof dae Siekverlof daeLeave carried over to next year: Vacation leave _______ days Sick leave _________ days

63

KENNISGEWING OM HUISVESTING TE ONTRUIM



Geagte _____________________

Hiermee word u in kennis gestel dat u die huisvesting wat u tans beset voor of op ________________________ moet ontruim en dat u die perseel en woning in ‘n aanvaarbare toestand moet agterlaat soos deur die werkgewer bepaal.

Verder word u in kennis gestel dat die perseel deur die werkgewer geïnspekteer sal word voordat u van enige aanspreeklikheid onthef sal word.

_______________________________ _____________________HANDTEKENING VAN WERKGEWER/ DATUMVERTEENWOORDIGER

Ontvangs van die kennisgewing word hiermee erken.

_______________________________ _____________________HANDTEKENING VAN WERKNEMER DATUM

Ek bevestig dat ‘n afskrif hiervan aan die betrokke werknemer oorhandig is op die _________________ dag van __________________om _______________.

_____________________ _____________________HANDTEKENING DATUM

______________________ _____________________HANDTEKENING GETUIE DATUM

64

NOTICE TO VACATE LIVING QUARTERS

NAME OF EMPLOYEE: ________________________________________________


Dear _____________________

You are informed that you must vacate the living quarter you presently occupy on or before ___________________. The buildings and premises must be left in an acceptable condition as required by the employer.

You must note that the premises will be inspected by the employer before you will be exonerated from liability.

_______________________________ _____________________SIGNATURE OF EMPLOYER/ DATEREPRESENTATIVE

Receipt of this notice is hereby acknowledged.

_______________________________ _____________________SIGNATURE OF EMPLOYEE DATE

I confirm that a copy of this notice was handed over to the employee on the ___________________day of ______________________at __________________________.

_____________________ _____________________SIGNATURE DATE

_______________________ _____________________SIGNATURE OF WITNESS DATE

65

AANSOEK OM LENING


WERKNEMER NO OF ID NO: ________________________________________________

AANSTELLINGSDATUM: ________________________________________________

HUIDIGE SALARIS/LOON: R ___________ PER *WEEK/MAAND

Hiermee doen ek aansoek om ‘n lening ten bedrae van R___________ ( ______________________ ).

Doel van lening: ____________________________________________________________________

_________________________________________________________________________________

_______________________________ _________________HANDTEKENING VAN WERKNEMER DATUM

*GOEDGEKEUR/NIE GOEDGEKEUR NIE

_______________________________ _________________HANDTEKENING VAN WERKGEWER DATUM

Terme en voorwaardes:

1. Terugbetaling geskied vanaf: ___________________________

2. Rente: ___________________________

3. Ander Terme: _______________________________________________________

_______________________________________________________

_______________________________________________________

Ek gee toestemming dat die lening soos volg van my *weeklikse loon/maandelikse salaris verhaal word:

R__________________*per maand/week in ________ paaiemente.

______________________________ _________________HANDTEKENING VAN WERKNEMER DATUM

Skrap waar nie van toepassing

66

APPLICATION FOR A LOAN

NAME OF EMPLOYEE: ________________________________________________


DATE OF APPOINTMENT: ________________________________________________

PRESENT SALARY/WAGE: R ___________ PER *WEEK/MONTH

I hereby apply for a loan to the amount of R___________ ( _________________________________ ).

The purpose for which the loan is required: _______________________________________________

__________________________________________________________________________________

_______________________________ _________________SIGNATURE OF EMPLOYEE DATE

*APPROVED/NOT APPROVED

_______________________________ _________________SIGNATURE OF EMPLOYER DATE

Terms and conditions:

1. Repayment will commence from: _________________________

2. Interest: __________________________

3. Other terms: _________________________________________________

_________________________________________________

_________________________________________________

I consent to the following deduction from my *weekly wage/monthly salary for the repayment of the loan:

R__________________*per month/week in ________ instalments.

_______________________________ _________________SIGNATURE OF EMPLOYEE DATE


67

ULTIMATUM OM DIENS TE HERVAT



1. U word hiermee verwittig dat u weiering om te werk op ‘n onbeskermde staking neerkom. Hierdie optrede is onwettig en kan ernstige gevolge vir u inhou.

2. U word hiermee opdrag gegee om u onwettige optrede te staak en terug te keer na u werk. U moet voor ____________________ (dag) __________________ (datum) ______________ (tyd) u dienste hervat.

3. Indien u versuim of weier om teen gegewe datum en tyd vir diens te rapporteer en u normale take volgens u diensooreenkoms te hervat en uit te voer, kan u aan die hand van u onwettige optrede summier ontslaan word.

4. Geliewe kennis te neem dat die tydperk van afwesigheid mee gehandel sal word as afwesigheid sonder vergoeding.

_______________________________ ________________HANDTEKENING VAN WERKGEWER/ DATUMVERTEENWOORDIGER

Hierdie kennisgewing is aan die werknemer persoonlik oorhandig op ____________________om ____________________te ___________________deur ___________________________

__________________________ ________________HANDTEKENING VAN GETUIE DATUM

Die inhoud hiervan is aan die werknemer getolk vanuit _____________________________na____________________________. *Hy/sy het aangedui dat *hy/sy dit verstaan.

________________________ ________________HANDTEKENING VAN TOLK DATUM

* Skrap waar van toepassing

68

ULTIMATUM TO RETURN TO WORK

NAME OF EMPLOYEE: ________________________________________________


1. You are informed herewith that your refusal to work amounts to an unprotected strike. This conduct is unlawful and could have serious consequences for you.

2. You are therefore instructed to end your unlawful conduct and to return to work. You must resume your duties before ____________________ (day) __________________ (date) ______________ (time).

2. Should you refuse or neglect to return to work and resume your duties in terms of the Contract of Employment on or before the given date and time, you could be summary dismissed due to your unlawful conduct.

4. Please take note that the period of absence will be dealt with as absence without remuneration.

_________________________ ________________SIGNATURE OF EMPLOYER/ DATEREPRESENTATIVE

This notice was handed over to the employer personally on __________________ at ___________________at ___________________by ________________________.

______________________ ________________SIGNATURE OF WITNESS DATE

The contents of this notice were interpreted to the employee from ____________________ to ______________________. *He/she indicated that *he/she understood.

__________________________ ________________SIGNATURE OF INTERPRETER DATE


69

KENNISGEWING VAN VOORNEME OM KORTTYD IN TE STEL



Geagte ________________________________

As gevolg van die volgende omstandighede __________________________________________________________________________________________________________________________________________________________________________________________________________________oorweeg die *maatskappy/bestuur/werkgewer dit om korttyd in te stel en verlang u skriftelike reaksie hierop so gou doenlik maar nie later as die sluiting van besigheid op _________________ (een week).

Indien korttyd ingestel word sal u net betaal word vir ure wat werklik gewerk word.

Indien u enige alternatiewe voorstelle aan die hand kan doen om die instelling van korttyd te voorkom, verneem ons graag dringend daarvan sodat oorweging daaraan geskenk kan word. Die *maatskappy /bestuur/werkgewer is van mening dat korttyd in belang van die werknemers is aangesien dit die behoud van werksgeleenthede verseker en afleggings sal voorkom.

_______________________________ _______________________HANDTEKENING VAN WERKGEWER/ DATUMVERTEENWOORDIGER



Die inhoud hiervan is aan die werknemer getolk vanuit _________________ na __________________*Hy/sy het aangedui dat *hy/sy dit verstaan.



70

NOTICE OF INTENTION TO INTRODUCE SHORTTIME

NAME OF EMPLOYEE: ________________________________________________


Dear ______________________

Due to the following circumstances, _________________________________________________________________________________________________________________________________________________________________________________________________________________________ the *company/management/employer are considering introducing shorttime and requires your written reaction to this as soon as possible but not later than close of business on _____________ (one week).

Should shorttime be introduced, you will only be paid for actual hours worked.

Should you have any alternative suggestions to avoid the introduction of shorttime, we would gladly consider it. The *company/management/employer holds the view that shorttime is in the interest of the workforce since it insures the retention of job opportunities and the prevention of retrenchments.

________________________ _________________SIGNATURE OF EMPLOYER/ DATEREPRESENTATIVE

I acknowledge receipt of this notice. The contents of which was explained to me.


The contents of this document were interpreted by me to the employee from _________ to _________and he/she indicated that he/she understood.



71

KENNISGEWING VAN KORTTYD



Geagte ________________________________

U word hiermee in kennis gestel dat die *maatskappy/bestuur/werkgewer na deeglike oorweging besluit het om korttyd in te stel soos bespreek op ____________________. As gevolg van die volgende omstandighede. (Beskryf wat die stap genoodsaak het) _________________________________________________________________________________________________________________________________________________________________________________________________________

Korttyd sal ingestel word vanaf __________________________________________________ (datum).

Korttyd sal soos volg geimplimenteer word:

WERKTYEDAG VAN TOT TOTALE WERKURE

Maandag

Dinsdag

Woensdag

Donderdag

Vrydag

Saterdag

Sondag

In terme van die bepalings van die dienskontrak sal werknemers net betaal word vir ure werklik gewerk. Korttyd sal so spoedig as wat omstandighede dit toelaat opgehef word.

_______________________________ _______________________HANDTEKENING VAN WERKGEWER/ DATUMVERTEENWOORDIGER



Die inhoud hiervan is aan die werknemer getolk vanuit _________________ na __________________*Hy/sy het aangedui dat *hy/sy dit verstaan.



72

NOTICE OF SHORTTIME

NAME OF EMPLOYEE: ________________________________________________


Dear ______________________

You are informed that after thorough consideration the *company/management/employer has decided to introduce shorttime as discussed on ________________________ due to the following circumstances. (Describe what necessitated the step) __________________________________________________________________________________________________________________________________________________________________________________________________________________

Shorttime will be introduced from _________________________________________________ (date).

Shorttime will be implemented as follows:

WORK TIMESDAY FROM TO TOTAL WORKING HOURS

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

In terms of the provisions of the contract of employment, employees will only be remunerated for actual hours worked. Shorttime will be terminated as soon as circumstances allow.

________________________ _________________SIGNATURE OF EMPLOYER/ DATEREPRESENTATIVE

I acknowledge receipt of this notice. The contents of which was explained to me.


The contents of this document were interpreted by me to the employee from ___________________ to _________________________and he/she indicated that he/she understood.



73

VERVOER VRYWARINGSVORM (MINDERJARIGES)

Hiermee vrywaar ek, ________________________________________________ Die ouer of

regmatige voog van ______________________________, die werkgewer

Mnr/Mev____________________ asook enige van sy/haar werknemers teen enige

regsgeding, vervolging en/of aksies wat mag ontstaan as gevolg van beserings opgedoen of

dood van genoemde minderjarige __________________________ (minderjarige se naam en

van) tydens vervoer verskaf deur die werkgewer of enige van sy/haar werknemers, op enige

tyd en op enige plek ongeag wat die doel van sodanige vervoer mag wees.

Ek verklaar verder dat die betekenis en implikasie van hierdie vrywaring aan my verduidelik

was en dat ek dit verstaan.

Geteken te ___________ op hede die ______ ste dag van ________________20__.

____________________ Getuies: (1) ___________________

HANDTEKENING

(2) ___________________


_______________________ ______________________20__HANDTEKENING VAN TOLK

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VERVOER VRYWARINGSVORM

Ek, _________________________________ (die ondergetekende) vrywaar hiermee die

werkgewer Mnr/Mev _______________________ asook enige van sy/haar werknemers teen

enige regsgeding, vervolging en/of aksies wat mag ontstaan as gevolg van beserings

opgedoen of dood tydens vervoer verskaf deur die werkgewer tydens of buite werkure en op

enige plek of die vervoer geskied in die uitvoering van my dienste of vir privaat doeleindes.

Ek verklaar verder dat die betekenis en implikasie van hierdie vrywaring aan my verduidelik

was en dat ek dit verstaan.

Geteken te ___________ op hede die ______ ste dag van ________________20__.

____________________ Getuies:(1) ____________________

HANDTEKENING

(2) ____________________


_______________________ ______________________20__HANDTEKENING VAN TOLK

75

TRANSPORT INDEMNITY FORM (MINORS)

I ________________________as the parent or legal guardian of

_____________________,hereby indemnifies the employer

Mr/Mrs_____________________________________as well as any of his/her employees

against any lawsuit, prosecution and other actions that may arise as a result of injuries

sustained by the said minor ____________________(minor’s name and surname) or his/her

death during transport provided at any time or place by the employer or his/her employees

regardless of the purpose of the transport.

I declare that I understand the meaning and implications of this indemnity, which was

explained to me.

Signed at _______________ on this _____ day of ______________________20___.

_________________ Witnesses (1) ___________________SIGNATURE

(2) ___________________



76

TRANSPORT INDEMNITY FORM

I, ___________________________ (the undersigned) herewith indemnify the employer

Mr/Mrs_______________ as well as any of his/her employees against any lawsuit,

prosecution and/or actions that may arise as a result of injuries sustained or death during

transport provided by the employer during or outside working hours at any place regardless of

whether I am being transported in the execution of my duties or for private purposes.

I declare that I understand the meaning and implication of this indemnity, which was explained

to me.

Signed at _______________ on this _____ day of ______________________20___.

_________________ Witnesses (1) ___________________SIGNATURE

(2) ___________________



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MANDAAT

Hiermee verleen ek, __________________________ in my hoedanigheid as

__________________________ volmag aan SEESA, ‘n geregistreerde

werkgewersorganisasie, geregistreer in terme van die Wet op Arbeidsverhoudinge 1995, of

enige gemagtigde verteenwoordiger van SEESA om die onderneming te verteenwoordig by

die Kommissie van Konsiliasie, Mediasie en Arbitrasie / Bedingings Raad te

_____________________ in die konsiliasie aangeleentheid tussen ____________________

en _________________________________.

SEESA as gevolmagtigde is dus gemagtig om namens die onderneming te onderhandel in ‘n

poging om ‘n skikking in die aangeleentheid te bereik.

Geteken te ______________________ hierdie ________ dag van ________________ 20___.

___________________________HANDTEKENING

78

MANDATE

I, _________________________ in capacity as __________________________ of

_____________________, hereby authorise SEESA, a registered employers organisation,

registered in terms of section 96 of the Labour Relations Act 1995, or any regional

representative of SEESA to represent the undertaking at the Commission for Conciliation,

Mediation and Arbitration / Bargaining Council at __________________________ in the

conciliation process between ______________________________________ and

______________________________.

Please note that the representative of SEESA has the authority to negotiate any terms in an

attempt to reach a settlement.

Signed at ______________________ on this __________ day of________________ 20___.

___________________________SIGNATURE

79

APPLICATION FOR EMPLOYMENTAANSOEK OM BETREKKING

VACANCY : VAKATURE : _______________________________________________

A. PERSONAL PARTICULARSPERSOONLIKE BESONDERHEDE

SURNAME :

VAN : ______________________________________________

FIRST NAMES :VOORNAME : __________________________________________

IDENTITY NUMBER : AGE :IDENTITEITSNOMMER : _____________________ OUDERDOM:_________

TITLE : NATIONALITY :TITEL : _________ NASIONALITEIT : ________

RESIDENTIAL ADDRESS :WOONADRES : __________________________________________

______________________________________________________________________________________________________________________________

POSTAL ADDRESS : POSADRES : __________________________________________

__________________________________________

POSTAL CODE : POSKODE : _______

TELEPHONE NUMBER : TELEFOONNOMMER : ____ ________________ (w) _____ __________(h)

____ ________________ (fax)____ ________________ (c/s)

MARITAL STATUS :HUWELIKSTAAT :

Married Divorced Single Widow/erGetroud Geskei Ongetroud Weduwee/wewenaar

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B. LANGUAGE PROFICIENCY TAALVAARDIGHEID

SPEAKPRAAT

READLEES

WRITESKRYF

KEYSLEUTEL

ENGLISH A EXCELLENTUITSTEKEND

AFRIKAANS B GOODGOED

OTHER/ANDER C FAIRREDELIK

D POORSWAK

C. QUALIFICATIONSKWALIFIKASIES

Highest school qualification :Hoogste skoolkwalifikasie : ____________________________________

Post-school qualifications :Naskoolse kwalifikasies : ____________________________________

QUALIFICATIONKWALIFIKASIE

DATEDATUM

INSTITUTIONINSTELLING

If you are currently studying, give full details :As u tans besig is met studies, gee volle besonderhede :

NATURE OF STUDIESAARD VAN KURSUS


D. PARTICULARS OF COURSES COMPLETEDBESONDERHEDE VAN KURSUSSE VOLTOOI

NATURE OF COURSEAARD VAN KURSUS

DATEDATUM


81

E. EXPERIENCE ONDERVINDING

PARTICULARS OF PREVIOUS EMPLOYERS : BESONDERHEDE VAN VORIGE WERKGEWERS :

NAME AND ADDRESSNAAM EN ADRESPOSITIONKAPASITEITPERIOD OF SERVICETYDPERK VAN DIENS From/Van To/Tot

NATURE OF DUTIESAARD VAN DIENSREASON FOR LEAVINGREDE VIR DIENSVERLATINGSALARY AT TERMINATIONSALARIS BY DIENSBEëINDIGING





83

F. HEALTHGESONDHEID

Are you in good health currently? :Geniet u goeie gesondheid? : _____________________

Give details of any illness or injury which could affect your job performance:Verskaf besonderhede van enige siekte of besering wat u werksprestasie kan beïnvloed:

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

G. OFFENCESOORTREDINGS

Have you ever been convicted of a criminal offence?Was u al aan enige kriminele oortreding skuldig bevind?

YES NOJA NEE

If the answer to the previous question is “yes”, provide the following information:Indien u antwoord op die vorige vraag “ja” was, voorsien die volgende inligting:

NATURE OF THE OFFENCEAARD VAN OORTREDING

DATEDATUM

PLACE WHERE COMITTEDPLEK WAAR OORTEDING GEPLEEG IS

SENTENCEVONNIS

Is there any criminal offence pending against you?Is daar tans enige kriminele oortreding hangende teen u?

YES NOJA NEE

84

H. LEISURE TIME VRYE TYDSBESTEDING

Participation in clubs, sporting activities and hobbies : Deelneming binne klubs, sportaktiwiteite en stokperdjies :____________________

________________________________________________________________________________

I. GENERAL ALGEMEEN

Do you posses a valid driver’s licence? Code Beskik u oor ‘n geldige bestuurderslisensie? ____________ Kode _____________

Have you ever been declared insolvent?Was u al ooit insolvent verklaar? _____________

Earliest date you can assume duty?Vroegste datum waarop u diens kan aanvaar? _____________

Are you available for transfer to other centres?Is u beskikbaar vir verplasing na ander sentrums? _____________

Do you have any contractual or financial liability towards your present employer?Het u enige kontraktuele of finansiële aanspreeklikheid teenoor u huidige werkgewer?____

I certify that the information contained in this form is true and accurate to the best of my knowledge.Ek sertifiseer dat die inligting hierin na die beste van my kennis waar en korrek is.

I understand that false, inaccurate or misleading information may constitute dishonesty which could result in my dismissal.Ek neem kennis dat vals, onakkurate of misleidende inligting oneerlikheid daarstel en dat dit tot my ontslag kan aanleiding gee.

I consent to a reasonable investigation into my background and past employment.Ek gee toestemming tot ‘n redelike agtergrondondersoek van my verlede en vroeëre betrekkings.

I realise that the completion of this application form gives me no right which I do not currently have.

Ek erken dat ek geen regte deur die voltooiing van hierdie aansoekvorm bekom wat ek nie reeds het nie.

____________________________ _____________________SIGNATURE OF APPLICANT/ DATE/DATUMHANDTEKENING VAN APPLIKANT

85

BANKING DETAILS/BANK BESONDERHEDE

FULL NAMES:VOLLE NAME: ___________________________________________________

SURNAME:VAN: ___________________________________________________

ID NUMBER:ID NOMMER: ___________________________________________________

BANK:BANK: ___________________________________________________

BRANCH:TAK: ___________________________________________________

ACCOUNT NR:REKENING NO: ___________________________________________________

BRANCH NR:TAKKODE: ___________________________________________________

TIPE OF ACC:TIPE REKENING:

SAVINGS ACC: TRANSMISSION:SPAARREK: TRANSMISSIE:

CHEQUE: CREDIT CARD:TJEK: KREDIETKAART:

DATE: SIGNATURE:DATUM: ________________ HANDTEKENING: ____________________

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