Full Name

Your email

Contact Number

Parish

LEAVE DETAILS
Start Date of Leave

End Date of Leave

[/uacf7-col][/uacf7-row]

Reason for Leave

I hereby request a leave of absence from my active membership in ICYM for the specified duration. I understand the importance of my participation and commit to making up for any missed responsibilities upon my return. I have attached the necessary supporting documents (if applicable).

[uacf7_submission_id uacf7_submission_id-94]