I request permission for a leave of absence from the highest authority in my life for the following period:
Should permission be granted, I do solemnly swear to only visit the locations stated below. Nor shall I speak to another female other than those listed without gaining verbal permission one hour beforehand. I will not turn off my mobile after two drinks, nor shall I consume the allocated volume of alcohol without first phoning for a taxi or ordering food. I understand that even if permission is granted, my girlfriend/fiancée/wife retains the right to not talk to me, for a minimum period of seven (7) days, for no valid reason what so ever.
Amount of alcohol allowed (units) (Please note: beer only)
Locations likely to be visited (Please note: 2 maximum)
Females likely to be encountered (note full details)
Strength of drinks permitted (%) (Please note: beer only)
I also hereby solemnly swear that:
I declare that to the best of my knowledge (of which I have none compared to my BETTER half), the above information is correct.
This decision is not open to negotiation other than on my terms.
Permission for my boyfriend/fiancé/husband to be away for the following period of time: