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EMPLOYEE COUNSELLING/DISCIPLINARY ACTION FORM
"
*
" indicates required fields
Full Name
*
Date of Offence
*
DD slash MM slash YYYY
Position
*
Employment Number
*
Department
*
Location
*
Employment Type
*
Employee on Probation
Full Time
Part Time
Temporary
Please tick the appropriate box:
*
File Note
Counseling
Verbal Warning
Written Warning
Final Written Warning
Previous disciplinary record:
Details of Current Offence:
*
Values breached [from Company Vision Card]:
*
Integrity
Excellence
Partnerships
Teamwork
The following corrective action must be undertaken by the employee. Failure to do so will result in further disciplinary action:
*
Employee's comments:
Warning Issued by:
*
Designation:
*
Date:
*
DD slash MM slash YYYY
Warning Expiry Date:
*
DD slash MM slash YYYY
Employee Signature:
*
Department Head Signature:
The undersigned witnesses shall testify to the fact that the employee received the warning.
Witness 1:
HR Manager:
*
HR Signature:
Witness 2:
Name:
Signature:
FOR HR OFFICE USE ONLY
Received Date:
DD slash MM slash YYYY
All disciplinary actions remain active on employee file for a period of 12 months
CONTACT US
Rosie Holidays
Fiji's Leading Inbound Tour & Transport Operator
+679 9103800
customercare@rosiefiji.com
rosiefiji.com
FIND US
Our Locations
5am - 9pm Customer Care, Nadi Airport Office
Head Office, 25-27 Queens Road, Martintar, Nadi
P.O Box 9268, Nadi Airport
Tour Desks at all Major Hotels
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© Copyright Rosie Holidays 2025. All rights reserved.
© Copyright Rosie Holidays 2025. All rights reserved.