Gomal Themes
Leave Request
Sample Page
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Leave Request
"
*
" indicates required fields
Full Name
*
Email Address
*
Contact Number
*
Department
*
Business Development
Design & Development
SEO
Type of Leave
*
Sick Leave
Casual Leave
Emergency Leave
WFH (Exceptional Case)
Leave Start Date
*
MM slash DD slash YYYY
Time
Hours
:
Minutes
AM
PM
AM/PM
Leave End Date
*
MM slash DD slash YYYY
Time
Hours
:
Minutes
AM
PM
AM/PM
Number of Leave Days
*
Reason for Leave
*
Upload Medical Prescription
Max. file size: 10 MB.
Please upload a scanned copy or photo of your medical prescription here. This is required for sick leave requests to verify the reason for your absence. Accepted file formats include PDF, DOCX, JPG, and PNG.
Name
This field is for validation purposes and should be left unchanged.