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Verbal Warning

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Verbal Warning
Verbal Warning
Form: Verbal Warning
Strictly Private and Confidential Page 1 of 1
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Warning issued by:
Designation:
Name of offender:
Date of issue:
Personnel
number:
Validity of
warning:
To
Position:
Department:
Date of offence:
Charge:
Details of offence:
Employee declares
as follows:
I plead guilty to the transgression/offence.
I understand that this is a verbal warning and that it will be kept on my personal file for record keeping
purposes.
I understand that this verbal warning is valid for a period of 3 months.
I understand that the same or related offence in future may lead to disciplinary action, even dismissal.
I understand that a witness may sign on my behalf should I refuse to sign this warning after its contents
and implication was explained to me.
The contents and implications of this warning were explained to me and I understand it completely.
I was not forced nor influenced to sign this written warning.
Employer or
designate
signature:
Employee
signature:
Witness signature:
Representative
signature:
Name
Name:
Signature:
Signature:
Date
Date:
Comments:
Verbal Warning