____________ (Name of the school),
Date: __/__/____ (Date)
____________ (Name of the student),
Subject: Medical leave application
With due respect, I would like to state that I am _________ (Name) and I study in class __________ (Class) and have roll number __________ (Roll number).
I have been diagnosed with ___________ (Name of the disease) and the treatment as suggested by doctor needs ___________ (Days/Months) rest. As suggested by the doctor, ______ (I am supposed to have regular medical checkups as well). I will be attaching the medical certificate issued to me with this letter.
I request you to kindly give me medical leave from _________ (Date) to _______ (Date). Kindly accept my leave and emit me from paying the fine.
I shall be obliged.
Yours _________ (Obediently/Faithfully),
Enclosed: Medical Certificate