WRITTEN WARNING

[DATE]

[NAME OF EMPLOYEE]

[PERSONAL DETAILS OF THE EMPLOYEE]

This is a written warning in terms of the disciplinary procedure.  Should you engage in further misconduct, the written warning may be taken into account in determining a more serious sanction.  The written warning will be placed in your personal file and will remain valid for a period of six months for the date of the written warning.  After six months the written warning will be removed from your personal file and be destroyed.

The nature of the misconduct is:

If you object the warning, you may direct an appeal to [name] within five working days.

The nature of the misconduct is :

SIGNATURE OF EMPLOYEE

DATE

SIGNATURE OF MANAGER

DATE

SIGNATURE OF WITNESS (if applicable)

DATE