Student’s Leave Request – Al-Madrasah Al-Burhaniyah (London)

Please use this form to request for leave from Madrasah

Child's Details
Child / Class Details*
First Name Last Name ITS ID Class

Click the Add (⨁) button on the right to add each additional child for whom you are submitting the holiday request
Time off Details
From*
DD dash MM dash YYYY

Dates to be inclusive
To*
DD dash MM dash YYYY

Dates to be inclusive
Reason for the time off*
Please provide a brief reason for the leave request
Parents' Details
Parent's Name*
Prefix First Last
Parent's Email ID*
Parent's Mobile Number*

First Name	Last Name	ITS ID	Class

Child's Details