Sample application for free medical treatment.If someone have financial problem and he/she can not afford medical treatment then, they can use this format of application to trust director for request of free medical treatment due to poorness or shortage of funds. Easy and simple template is here for your help.

Application for Free Medical Treatment Sample

To,
The Trust Director Finance,
Welfare of Needy and Poor.

Dear Sir/Madam,

It is stated that my friend 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 do no have any savings to be used in such crucial and critical tenure. Sir, unfortunately my friend is on dialysis since last 1.5 years, his both kidneys are expired and he needs transplant on urgent basis. He is on leave  last since 6 months.Their 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 Rs. 7-8 lac 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,
Ahsan Hameed