Special Sports Leave Application Form

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Section A: Applicant s Details Section A1 - Personal Details Special Sports Leave Application Form Name: Surname: ID Card Number: Address: ( ) Telephone: Mobile: E-mail: @ Signature: Date: Section A2 - Employment Details Ministry: Division/Department: Place of Work: Position: Days of Work: 1

Section B: Represented Sport Organisation s Details Sport Organisation: Sport Discipline: SPORTMALTA Reg No.: Declaration: I, President/Secretary*, of, confirm that ** will be participating and representing Malta in the international sports event and would thus require leave from work. Name & Surname: Mobile Number: E-Mail: @ Signature: Date: 2

Section C: International Sport Activity Details Event: Participating as: (mark as applicable) Athlete / Coach / Other (specify) Event being Held: Locally^ / Abroad^^ (mark as applicable) * Proceed directly to Section D. In case of a conference or meeting proceed to Section F. ** Proceed directly to Section E. In case of a conference or meeting proceed to Section F. Section D: International Sport Activities held locally (One day special paid leave may be allowed for actual participation, on the day of the event, in international sport activities held locally) Event s Details*: Date: (day) / (month) / (year) ** Venue: Time: Number of events already availed by applicant for Special Sports Leave since 1 st January: 3

Section E: International Sport Activities held Abroad Event s Details*: Venue: Country: Requested number of Days for Special Sports Leave (excluding non-working days): Day by Day Details**: Week Day Date Working Day Activity in the Day (including travel) Number of events already availed by applicant for Special Sports Leave since 1 st January: 4

Section F: Mandatory* Conference/Meeting Conference/Meeting Details**: Explanation why this meeting/conference is mandatory: Conference/Meeting Venue: Country: Requested number of Days for Special Sports Leave (excluding non-working days): Day by Day Details***: Week Day Date Working Day Activity in the Day (including travel) 5

Section G: Details of Recognition of Event by SportMalta Sport Entity Registered with SPORTMALTA: YES / NO Event taking place: from till Number of days consumed by applicant to participate in the event : Comments: SportMalta recognises / does not recognise the event as an international local event / international event abroad / mandatory conference. Name: Date: Grade/Position: Signature: SPORTMALTA Stamp: 6

ADDITIONAL NOTES THE PROCEDURE FOR APPLYING FOR SPECIAL SPORTS LEAVE IS AS FOLLOWS: 1. FILL IN APPLICATION FORM AND REQUEST ENDORSEMENT OF RESPECTIVE SPORTS ORGANISATION. ATTACH OFFICIAL LETTER FROM RESPECTIVE SPORTS ORGANISATION INDICATING NATURE OF EVENT AND WHAT THE ATHLETE / COACH / OFFICIAL WILL GAIN OUT OF SUCH PARTICIPATION (E.G. REPRESENTING MALTA, ACHIEVE RANKING IN NATIONAL COMPETITION THROUGH PARTICIPATION IN EVENTS ABROAD, ETC) AND/OR INVITE SENT BY ORGANISATION FOR MANDATORY MEETINGS AND CONFERENCES. 2. PASS THROUGH SPORTMALTA FOR RECOGNITION OF EVENT. 3. FORWARD TO RESPECTIVE DIRECTOR FOR APPROVAL OF SPORTS LEAVE. 4. FORWARD TO PERMANENT SECRETARY FOR INFORMATION. 7