Medical Application Format Samples for Leave, College, Office & School

Medical Application Format for School (Student Sick Leave)

To,  

The Principal,  

____________________ [School Name],  

______________________________ [School Address]  

Date: _______________ [DD/MM/YYYY]

Subject: Medical Leave Application

Respected Sir/Madam,

I am _______________ [Your Name], a student of Class __________ [X], Section __________ [Y]. I am suffering from ___________ [mention illness, e.g., fever] and my doctor has advised rest for __________ [X days]. Please grant me leave from __________ [Start Date] to ___________ [End Date].

I shall be grateful for your kind consideration.

Thank you.  

Yours obediently,  

___________ [Your Name]  

___________ [Roll Number]

Medical Application Format for College Leave

To,  

The Dean,  

_____________________ [College Name],  

______________________________ [College Address]  

Date: _______________ [DD/MM/YYYY]

Subject: Application for Medical Leave  

Respected Sir/Madam,  

I am _______________ [Your Full Name], a student of _______________ [Course Name], _________ [Year]. I am currently unwell and unable to attend classes. As advised by my physician, I need rest for _____ [Number] days.

Kindly approve my medical leave from __________ [Start Date] to __________ [End Date]. A copy of my medical certificate is attached herewith for reference.

Sincerely,

_______________ [Your Name]  

_____________________ [Enrollment Number]  

_______________ [Contact Info]

Medical Application Format for Office (Employee Sick Leave)

To,  

The Manager,  

______________ [Company Name],  

____________________________ [Company Address]  

Date: ______________ [DD/MM/YYYY]

Subject: Medical Leave Request  

Dear ______________ [Manager’s Name],  

I am writing to inform you that I am unwell due to ______________ [mention illness], and my doctor has recommended rest. I request medical leave from ______________ [Start Date] to ______________ [End Date].

I am attaching the medical certificate issued by my healthcare provider.

Thank you for your understanding and support.

Regards,  

______________ [Your Name]  

______________ [Employee ID]  

______________ [Department]

One-Day Medical Leave Application (Short Leave)

To,  

The Principal/Manager,  

________________ [Institution/Organization Name]  

Date: __________ [DD/MM/YYYY]  

Subject: Application for One-Day Sick Leave  

Respected Sir/Madam,  

I am _______________ [Your Name], feeling unwell due to _______________ [mild illness or fatigue]. I request leave for today, ___________ [mention date], and assure you that I will resume tomorrow.

I appreciate your consideration.

Sincerely,  

___________ [Your Name]  

___________ [Class/Position]

Medical Leave Application by Parent (for School Student)

To,  

The Principal,  

________________ [School Name],  

________________________________ [School Address]  

Date: ___________ [DD/MM/YYYY]  

Subject: Sick Leave Application for My Child  

Respected Sir/Madam,  

I am ________________ [Parent’s Name], parent of ________________ [Student’s Name], studying in Class __________ [X], Roll No. ___________ [XX]. My child is suffering from ________________ [illness] and will not be able to attend school from ________________ [Start Date] to ________________ [End Date].

Kindly grant leave for the mentioned period. A doctor’s note is attached.

Thank you.  

Sincerely,  

________________ [Parent’s Name]  

________________ [Contact Number]

Medical Application Format for Hospitalization (Long-Term Leave)

To,  

The HR Department,

_______________ [Company/College Name]

Date: _______________ [DD/MM/YYYY]

Subject: Medical Leave Request for Hospitalization

Dear Sir/Madam,

I am _______________ [Your Name], _______________ [Designation/Student], currently undergoing treatment at _______________ [Hospital Name] for _______________ [Condition]. I have been advised to complete bed rest and undergo possible surgery. I request medical leave from _______________ [Start Date] to _______________ [Expected End Date].

Medical records and a certificate from the hospital are enclosed for your reference.

Thank you for your kind support.

Sincerely,  

_______________ [Your Name]  

_______________ [ID/Employee/Student Number]  

_______________ [Contact Info]