Application for Maternity Leave

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1. Application for Maternity Leave
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Please ensure that you have submitted your Mat B1 form along with this application for it to be processed. (NOTE:- THIS APPLICATION DOES NOT CONFER ANY RIGHT TO PARTICULAR BENEFITS. YOUR ENTITLEMENTS WILL BE CHECKED AND SUBSEQUENTLY CONFIRMED TO YOU IN WRITING AS SOON AS POSSIBLE.)
 

1. Employee Details *

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2. Type of Contract *

 

3. Employment start date with Pegasus Homecare Ltd *

   DD/MM/YYYY 
 
 

4. My expected date of the birth of my child is *

   DD/MM/YYYY 
 
 

5. My Mat B1 one for signed by a midwife or medical practitioner *