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Paterson Healthcare Recruitment

Self Booked Shifts - Witney

Please fill in the form below ensuring your name and payroll number are entered. Then tick the appropriate checkboxes for your self-booked shifts and submit the form.

Please submit one form for each client.

Client Name *

Department/Unit (if applicable)

Your Name *

Payroll *

Key:

E = Early

L = Late

ND = Night Duty

NS = Night Sleep

Other Information

 

 

Month

Date

E
L
ND
NS
Date

E

L
ND
NS
1
17
2
18
3
19
4
20
5
21
6
22
7
23
8
24
9
25
10
26
11
27
12
28
13
29
14
30
15
31
16
         

 

 

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