________
________
Phone: ________
Email: ________
Staff/Employee No.: ________
Date: ________
The ________
________
________
Dear Sir/Madam,
RE: APPLICATION FOR EXTENSION OF SICK LEAVE
1. I, ________, currently employed by ________ in the position of ________ within the ________ department, respectfully write to formally request an extension of my approved sick leave.
2. I had earlier applied for and was granted sick leave on account of the following medical condition:
________
3. The leave previously granted to me was for a period of ________, commencing on ________ and ending on ________, with my expected date of resumption being ________.
4. Regrettably, I am unable to resume my duties on the scheduled date for the following reasons:
________
5. In view of the foregoing, I hereby respectfully apply for an extension of my sick leave for a further period of ________, commencing on ________ and ending on ________, after which I expect to resume my duties on ________.
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7. Particulars of the certifying medical practitioner are as follows:
Name of Medical Practitioner: ________
Hospital/Clinic: ________
Address: ________
Date of Medical Certificate: ________
8. I confirm that this extension is necessary solely for the purpose of my recovery, and I give my undertaking to resume work and continue the discharge of my duties promptly upon being certified fit and restored to good health.
9. I sincerely apologise for any inconvenience this may cause to the Company and assure you of my continued commitment to my responsibilities. Should you require any further information or clarification, I remain available on the telephone number ________ and at the email address ________.
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I thank you for your understanding and kind consideration of this application, and I look forward to your favourable response.
Yours faithfully,
__________________________
________
(Applicant/Employee)
Signature: ________
Date: ________