<%= render "layouts/portlet-config" %> <%= render "layouts/theme-panel" %> <%= render "layouts/breadcrumbs" %>

<% if flash[:error] %>

× <%= flash[:error] %>

<% end %> <%= form_tag({:action=>'create'} ,:multipart=>true,:id=>:myforms ) do %>

Request No*

Discipline Date*

Department*

Employee Code*

Employee Name*

Remarks*

<% end %>