AN120537 – Teachers (Archdiocese of Sydney and Dioceses of Broken Bay and Parramatta) (State) Award 2006

ANNEXURE B - PORTABILITY

Part to be completed by teacher:

Name of Teacher:
Name of former Catholic Employer: __________________________________________________
I, _________________________		was formerly employed by ____________
(Name of teacher)		(Name of former Catholic employer)
as a teacher from ______________ to		________________________
(Date)		(Date)
I commenced as a teacher with ________________________		on _____________________
		(Date)
___________________________		________________________
Signature		Date
Part to be completed by former Catholic Employer:
___________________________		was employed by the employer as a teacher
(Name of teacher)
and ceased work on ________________
(Date)

At that time, untaken sick leave with the employer over the proceeding - years of continuous service is as follows:

(Date)

SET OUT RECORD
e.g:

Last year of employment	Sick Days
Year 2 accumulation	Sick Days
Year 3 accumulation	Sick Days
Year 4 accumulation	Sick Days
Year 5 accumulation	Sick Days
Year 6 accumulation	Sick Days

__________________________	_______________________
Employer	Date

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