Effective date : 2017.06.28 ANSELL Staff Requisition Form Lanka EX-R4-AF-A Page 1 of 2 STAFF REQUISITION FORM POSITION SRN NO Compounding Production Assistant TO : Head of HR FROM : Chemist -Compounding DATE :2021/08/31 COST CENTER/S 20805 1.0 Required Non-of Recruiters : 01 2.0 Gender : Male 3.0 Why Recruitment (i) Filling a Vacancy Reason (Please Tick) a. b. c. d. e. Emp. No Resignation Termination Retirement Promotion Long term absenteeism 4.0 Type of Contract of Employment (ii) Additional Manpower : (iii) New Position : Permanent 5.0 Mode : External 6.0 How do you currently manage the lack of manpower? Is this position within your budgetary manpower allocation : Through Contract/Man power Employees 7.0 : Yes Note: Please attach the Current Job Description of the position required. IF THE VACANCY IS FOR ADDITIONAL MANPOWER / NEW POSITION 8.0 Expected Educational Qualifications Passed at least with Ordinary Level and previous manufacturing experience preferred 9.0 Expected Professional Qualifications N/A 10.0 Experience & Training Communication Skills - both Written and Verbal skills in Sinhala & English Computer Literacy - (MS Excel and other office applications) Preferred . Effective date : 2017.06.28 ANSELL Staff Requisition Form Lanka EX-R4-AF-A Page 2 of 2 11.0 Personal Attributes Strong leadership qualities Interpersonal Communications 12.0 REVIEW OF ALTERNATE SOURCES FOR NON-RECRUITMENT OPTION REVIEWED YES NO Scrap/Elimination Re-organization/Re-structuring Distribution Productivity Sharing Use of Contract Labour Outsourcing Automation Semi-automation If all above positions are not viable why do you think this position is indispensable? COMMENTS ON THE FORWARD PLAN Signature of the Functional /Divisional Manager:………………………. Date:………………………… Recommendations by MM (for all manufacturing positions) ...................................................................................................................................................................................................................... ...................................................................................................................................................................................................................... Signature of the Manufacturing Manager :………………………. Date:……………………… Comments & Recommendations by Head of HR ................................................................................................................................................................................. ................................................................................................................................................................................. Signature of the Head of HR :………………………. Date:……………………… Comments & Recommendations by GM ................................................................................................................................................................................. ................................................................................................................................................................................. Approved Not Approved Signature of the General Manager:………………………. Date:………………………