<link href="//maxcdn.bootstrapcdn.com/bootstrap/4.1.1/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css">
<script src="//maxcdn.bootstrapcdn.com/bootstrap/4.1.1/js/bootstrap.min.js"></script>
<script src="//cdnjs.cloudflare.com/ajax/libs/jquery/3.2.1/jquery.min.js"></script>
<form class="form-horizontal">
<fieldset>
<legend>Staff Leave Request استئذان موظف</legend>
<div class="form-group">
<label class="col-md-4 control-label" for="name">Staff Name اسم الوظف</label>
<div class="col-md-5">
<input id="name" name="name" type="text" placeholder="Name" class="form-control input-md" required="">
</div>
</div>
<div class="form-group">
<label class="col-md-4 control-label" for="requestfrom">Request from طلب الاسئذان من</label>
<div class="col-md-5">
<select id="requestfrom" name="requestfrom" class="form-control">
<option value="1">Mr. Saeed Al Ghaithi</option>
<option value="2">Mr. Amer Balouch</option>
<option value="3">Mr. Salem Al Kalbani</option>
<option value="4">Mr. Mohammed Elbendary</option>
</select>
</div>
</div>
<div class="form-group">
<label class="col-md-4 control-label" for="reason">Leave Reason سبب الأستئذان</label>
<div class="col-md-5">
