Leave Application For Surgery

The templates of Leave Application for Surgery are provided below.

Template 1: For Professionals

The HR Manager,

Stardom Associations.

Sub: Leave Application for Surgery

Respected Sir,

With due esteem, it is stated that I am in need of leave for three days on account of my surgery.  I have got a minor fracture on my leg yesterday because of which my movement is effected.
I request you to grant me leave so that I may undergo this surgery and be in proper health state. I shall be utterly obliged and grateful.

Thanking You.


Jonny Dome

Accounts Officer

Date: 9/8/16

Template 2: For Students

The Vice Principal,

Saint Anthony School System.

Sub: Leave Application for Surgery


With immense respect, I am writing to state that I am in need of one week leave from school on account of my surgery. I have suddenly encountered with the problem of appendix and Doctor has prescribed this surgery on an urgent basis. Therefore, I am not able to attend classes. I request you to kindly grant me leave from 5th to 11th September 2016. I shall be grateful.

Yours Obediently,

Ema Kim

Grade 8th

Date: 9/2/16

Template 3:

The  Principal,

Falcon School of Marketing

Subject: Request for a long leave due to surgery

Respected Madam,

This is to inform you that I suddenly come to know about the sad news of my poor health. Doctors have recommended me for a surgery of “appendix” as soon as possible. Otherwise, it may cause a series of health issues for me. I need a leave in order to through the surgery procedure. Kindly, grant me leave for at least 15 days. I shall be highly thankful to you for this favor.

Dates of my leave application are 12 June 2018 to 22 June 2018.

Best Regards.

Yours Sincerely,

Mr. John

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