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Applicant's Information
First Name
*
Last Name
*
E-mail
*
Contact Number
*
Gender
*
-- Select Your Gender --
Male
Female
Marital Status
*
-- Select Your Marital Status --
Single
Married
Divorced
Widow
Relationship with Soldier
*
-- Select Your Relationship --
Friend
Wife
Husband
Relative
Fiancée
Others
Nationality
*
-- Select Your Country --
United States
United Kingdom
Canada
Australia
Germany
Other
Reason for Leave Application
*
Soldier's Information
Full Name
*
Soldier ID Number
*
Email
*
Current State
*
Country
*
-- Select Country --
United States
United Kingdom
Canada
Australia
Germany
Other
Leave Duration
*
-- Select Leave Duration --
1 Month Emergency Leave
2 Months Emergency Leave
3 Months Emergency Leave
4 Months Emergency Leave
5 Months Emergency Leave
6 Months Emergency Leave
8 Months Emergency Leave
Final Discharge Leave
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