To,

The Head of the Department

Department of Computer Science & Engineering
Chitkara Institute of Engineering & Technology,
Punjab
Date:
Subject: Request for Medical Leave
Dear Madam,
This is to request you to kindly grant my ward ________________________ College
Roll

No._________________,

Sem____________,

Medical

Leave

from

_________________________ to _______________________ as per the norms of

University. He is suffering from ____________________________________ disease.

I hope you will consider my request. The medical certificate is attached herewith.
Yours truly,
(Signature of Parent/Guardian)
(Name of Signatory in Capital Letters)
(Mobile Nos. ___________________________)