HRDO Remarks on the LSL and LFF Note: Please fill out all required fields (*). HiddenParent Form Entry ID*HiddenParent Form Version*Employee InformationType of Employee* Admin Faculty REPS Employee* First Name Middle Name/Initial Last Name Suffix AssessmentHiddenForm* Application for Local Faculty Fellowship Application for Local Study Leave Application for Local Study Leave and Local Faculty Fellowship HiddenType of Application* New Renewal/Extension Reinstatement HiddenLength of Study Leave*Would you like to proceed with the assessment?* Yes No Is the employee's rank stated on the application correct?* Yes No Rank*Select RankRankEmployment Status* Permanent Temporary/Contractual Appointment Start Date* MM slash DD slash YYYY Appointment End Date* MM slash DD slash YYYY Appointment Remarks*Does the employee have a plantilla?* Yes No PSI No.* Type of Leave* Leave with Pay Leave without Pay Leave Start Date* MM slash DD slash YYYY Leave End Date* MM slash DD slash YYYY Request HistoryIf applicable, please provide the data under the columns marked with an asterisk (*).Type of RequestStart DateEnd DateProgram of StudyInstitution/UniversityLocationRemarks Select Type of RequestFirst AvailmentRenewalReinstatement Add RemoveAppointment Details*Please note that all fields under the columns marked with an asterisk (*) are required.For the length of service and the remaining period of maximum renewal, please follow the format: [number] years, [number] months, [number] daysRankMaximum Number of Years of RenewalDate StartedLength of ServiceMaximum Date of RenewalRemaining Period of Maximum RenewalReturn Service*Please note that all fields under the columns marked with an asterisk (*) are required.RSO YearRSO MonthRSO DaysRSO UntilDraft of Service Record*Accepted file types: pdf, Max. file size: 3 MB.RemarksInfomation Needed for the Drafts of the Local Faculty Fellowship / Study Leave Agreement and Suretyship AgreementChancellor* First Name Middle Initial Last Name Suffix Chancellor GIID No. / Passport No.* Date of Issue of Chancellor's GIID No. / Passport No.* MM slash DD slash YYYY Place of Issue of Chancellor's GIID No. / Passport No.* For SubmissionReviewer* First Name Last Name HRDO Director* First Name Middle Initial Last Name Suffix CommentsThis field is for validation purposes and should be left unchanged.