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<div class="main-container">
<!-- Author: FormBold Team -->
<!-- Learn More: https://formbold.com -->
<div class="form-wrapper">
<img
src="https://ucarecdn.com/24b7ddf6-a399-4aa0-8a64-6a28bc797576/travelrequestform.png"
alt="Travel Request Form Illustration"
class="form-image"
/>
<form
action="https://formbold.com/s/FORM_ID"
method="POST"
enctype="multipart/form-data"
>
<!-- Title and Description -->
<div class="form-header">
<h2 class="form-title">Travel Request Form</h2>
<p class="form-description">
Please fill in the necessary details for your travel
request. All required fields are marked with *.
</p>
</div>
<!-- Employee / Requester Information -->
<div class="form-group">
<label for="fullname" class="form-label">Full Name*</label>
<input
type="text"
name="fullname"
id="fullname"
class="form-input"
required
/>
</div>
<div class="form-group">
<label for="email" class="form-label">Email Address*</label>
<input
type="email"
name="email"
id="email"
class="form-input"
required
/>
</div>
<div class="form-group">
<label for="department" class="form-label"
>Department / Team*</label
>
<input
type="text"
name="department"
id="department"
class="form-input"
required
/>
</div>
<div class="form-group">
<label for="employee-id" class="form-label"
>Employee ID (Optional)</label
>
<input
type="text"
name="employee-id"
id="employee-id"
class="form-input"
/>
</div>
<div class="form-group">
<label for="request-date" class="form-label"
>Date of Request*</label
>
<input
type="date"
name="request-date"
id="request-date"
class="form-input"
required
/>
</div>
<!-- Travel Details -->
<div class="form-group">
<label for="purpose" class="form-label"
>Purpose of Travel*</label
>
<input
type="text"
name="purpose"
id="purpose"
class="form-input"
required
/>
</div>
<div class="form-group">
<label for="travel-type" class="form-label">Travel Type*</label>
<select
name="travel-type"
id="travel-type"
class="form-select"
required
>
<option value="domestic">Domestic</option>
<option value="international">International</option>
</select>
</div>
<div class="form-group">
<label for="destination" class="form-label"
>Destination City / Country*</label
>
<input
type="text"
name="destination"
id="destination"
class="form-input"
required
/>
</div>
<div class="form-group">
<label for="departure-date" class="form-label"
>Departure Date*</label
>
<input
type="date"
name="departure-date"
id="departure-date"
class="form-input"
required
/>
</div>
<div class="form-group">
<label for="return-date" class="form-label">Return Date*</label>
<input
type="date"
name="return-date"
id="return-date"
class="form-input"
required
/>
</div>
<!-- Accommodation & Transport -->
<div class="form-group">
<label class="form-label">Hotel Required?</label>
<div class="radio-group">
<div class="radio-item">
<input
type="radio"
name="hotel-required"
id="hotel-required-yes"
value="yes"
class="form-radio"
/>
<label for="hotel-required-yes" class="radio-label"
>Yes</label
>
</div>
<div class="radio-item">
<input
type="radio"
name="hotel-required"
id="hotel-required-no"
value="no"
class="form-radio"
/>
<label for="hotel-required-no" class="radio-label"
>No</label
>
</div>
</div>
</div>
<div class="form-group">
<label for="mode-of-travel" class="form-label"
>Mode of Travel*</label
>
<select
name="mode-of-travel"
id="mode-of-travel"
class="form-select"
required
>
<option value="flight">Flight</option>
<option value="train">Train</option>
<option value="bus">Bus</option>
<option value="personal-vehicle">Personal Vehicle</option>
</select>
</div>
<div class="form-group">
<label for="travel-budget" class="form-label"
>Travel Budget Estimate*</label
>
<input
type="number"
name="travel-budget"
id="travel-budget"
class="form-input"
required
/>
</div>
<!-- Additional Notes -->
<div class="form-group">
<label for="notes" class="form-label"
>Justification or Notes</label
>
<textarea
name="notes"
id="notes"
rows="5"
class="form-textarea"
></textarea>
</div>
<div class="form-group">
<label for="special-requirements" class="form-label"
>Special Requirements (Visa, Stopovers, etc.)</label
>
<textarea
name="special-requirements"
id="special-requirements"
rows="3"
class="form-textarea"
></textarea>
</div>
<!-- Attachment -->
<div class="form-group">
<label for="attachment" class="form-label"
>Upload Supporting Documents (Invitation, Itinerary,
etc.)</label
>
<input
type="file"
name="attachment"
id="attachment"
accept=".jpg,.jpeg,.png,.pdf,.docx"
class="form-input"
/>
</div>
<!-- Approval Confirmation -->
<div class="form-group checkbox-group">
<input
type="checkbox"
id="approval-checkbox"
class="form-checkbox"
required
/>
<label for="approval-checkbox" class="checkbox-label">
I confirm the above travel details and agree to company
policy.
</label>
</div>
<!-- Submit Button -->
<button type="submit" class="submit-btn"
>Request Travel Approval</button
>
</form>
</div>
</div>
<style>
/* General Body and Font Styles */
body {
font-family: "Inter", sans-serif;
background-color: #f3f4f6;
margin: 0;
}
/* Main container for centering the form */
.main-container {
display: flex;
align-items: center;
justify-content: center;
padding: 3rem 1rem; /* Added horizontal padding for mobile */
min-height: 100vh;
box-sizing: border-box;
}
/* Form wrapper/card */
.form-wrapper {
width: 100%;
max-width: 42rem; /* max-w-2xl */
border-radius: 0.5rem; /* rounded-lg */
background-color: white;
padding: 2.5rem; /* p-10 */
box-shadow: 0 10px 15px -3px rgba(0, 0, 0, 0.1),
0 4px 6px -4px rgba(0, 0, 0, 0.1);
box-sizing: border-box;
}
/* Top image styling */
.form-image {
margin-bottom: 1rem;
width: 100%;
border-radius: 0.5rem;
height: auto;
}
/* Header section for title and description */
.form-header {
margin-bottom: 2rem; /* mb-8 */
text-align: center;
}
.form-title {
font-size: 1.875rem; /* text-2xl */
font-weight: 600; /* font-semibold */
color: #1f2937; /* text-gray-800 */
}
.form-description {
margin-top: 0.5rem; /* mt-2 */
font-size: 0.875rem; /* text-sm */
color: #4b5563; /* text-gray-600 */
line-height: 1.5;
}
/* Container for each form field group */
.form-group {
margin-bottom: 1.5rem; /* mb-6 */
}
/* Form labels */
.form-label {
display: block;
margin-bottom: 0.5rem; /* mb-2 */
font-size: 0.875rem; /* text-sm */
font-weight: 500; /* font-medium */
color: #4b5563; /* text-gray-600 */
}
/* Common styles for input, select, and textarea */
.form-input,
.form-select,
.form-textarea {
width: 100%;
border-radius: 0.375rem; /* rounded-md */
border: 1px solid #d1d5db; /* border-gray-300 */
padding: 0.75rem; /* p-3 */
font-size: 0.875rem; /* text-sm */
color: #1f2937; /* text-gray-800 */
box-sizing: border-box;
transition: border-color 0.2s, box-shadow 0.2s;
}
.form-input:focus,
.form-select:focus,
.form-textarea:focus {
border-color: #6366f1; /* focus:border-indigo-500 */
box-shadow: 0 0 0 1px #6366f1; /* focus:ring-1 focus:ring-indigo-500 */
outline: none;
}
/* Radio button group */
.radio-group {
display: flex;
align-items: center;
gap: 1.5rem;
}
.radio-item {
display: flex;
align-items: center;
}
.form-radio {
height: 1rem;
width: 1rem;
color: #4f46e5; /* text-indigo-600 */
}
.radio-label {
margin-left: 0.5rem; /* ml-2 */
font-size: 0.875rem;
color: #4b5563;
}
/* Checkbox group */
.checkbox-group {
display: flex;
align-items: center;
}
.form-checkbox {
height: 1rem; /* h-4 */
width: 1rem; /* w-4 */
color: #4f46e5; /* text-indigo-600 */
}
.checkbox-label {
margin-left: 0.5rem; /* ml-2 */
font-size: 0.875rem; /* text-sm */
color: #4b5563; /* text-gray-600 */
}
/* Submit Button */
.submit-btn {
width: 100%;
border-radius: 0.375rem; /* rounded-md */
background-color: #4f46e5; /* bg-indigo-600 */
padding: 0.75rem 1.5rem; /* px-6 py-3 */
font-weight: 500; /* font-medium */
color: white;
border: none;
cursor: pointer;
transition: background-color 0.3s, box-shadow 0.3s;
}
.submit-btn:hover {
background-color: #4338ca; /* hover:bg-indigo-700 */
}
.submit-btn:focus {
outline: none;
box-shadow: 0 0 0 3px rgba(99, 102, 241, 0.5); /* focus:ring-2 focus:ring-indigo-500 focus:ring-opacity-50 */
}
/* Mobile Responsive Styles */
@media (max-width: 640px) {
.main-container {
padding: 1rem;
}
.form-wrapper {
padding: 1.5rem;
}
.form-title {
font-size: 1.5rem;
}
}
</style>