Flexible Work Arrangement Request

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Mohuta wa Thulaganyo

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KGOPELO YA PEAKAÅ O YA MOÅ OMO YE E TEBETÅ EGO

KGOPELO YA PEAKAÅ O YA MOÅ OMO YE E TEBETÅ EGO

Mošomi: [Employee Name]

Maemo: [Job Title]

NAKO E KGOPILWEGO

[Requested Arrangement]

LETSATSI LA GO THOMA LE LE Å IÅ INTÅ WEGO

[Proposed Start Date]

LEBAKA

[Reason]

TUMELELO

Tumelelo ya Molaodi: .________________ .

SIGNATURES

Signature

Signature Date

Signature

Signature Date

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