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Application

Maternity Leave Application

Request maternity leave as per company policy and the Maternity Benefit Act.

Maternity Leave Application

Date: [DD/MM/YYYY]

To,
The HR Manager
[Company Name], [City]

Subject: Application for Maternity Leave

Respected Sir/Madam,

I am writing to request maternity leave as per company policy and the Maternity Benefit Act. My expected date of delivery is [date], and I would like to commence my leave from [start date] for a period of [number] weeks.

I have briefed [colleague name] to manage my responsibilities during my absence. Please find the medical documents attached. I request you to kindly approve my maternity leave.

Yours faithfully,

___
[Name]
[Emp ID/Dept]

Before you use it — fill in / check

  • Applicant
  • To/Recipient
  • Reason/detail
  • Date

How to use this template

  1. Read through and replace every [bracketed] or blank placeholder with your actual details.
  2. Delete any clause that doesn't apply and add anything specific to your situation.
  3. Click Print / Save as PDF to download, or Copy text to paste into your letterhead.
  4. Get it signed / stamped / notarised as required, and keep a copy for your records.

This is a general, editable template for convenience only — not legal advice. For anything material, have a professional review it. TaxClue isn't liable for how it's used.