________
________
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: ________