Application Format for Free Medical Treatment

Application Format for Free Medical Treatment


The Director Finance/Accounts Manager/Higher Authority,

Institute name…


Dear Sir/Madam,

It is stated that my brother was working in private organization as a sales person and he was earning very low income which was not sufficient to maintain all expenses. He does not have any savings to be used in such crucial and critical tenure. Sir, unfortunately my brother is on dialysis since last 1.5 years (state cause of accident/disease), his both kidneys are expired and he needs transplant on urgent basis. He is on leave last since five months. There is no reliable source of income as his elder brother is a clerk in a govt department and has insufficient salary. In an accident his leg is broken.

Therefore, I strongly request you provided funds for his free treatment because he is in dangerous condition of health and doctors has advised him operation which will require (amount of money). So that, he will be able to handle his family. It will be a great help of him. I shall be very thankful to you.

Yours Truly,


Contact no…..