To,
The District Magistrate & District Election Officer
(District Name)
Sub: Petition for cancellation of election duty an account of (Surgery Name) Surgery
Sir,
My humble submission is that I am (Name), (Designation) of (Institution).
On (Date), I had to undergo (Surgery Name) surgery due to physical elements. But even after that operation, my physical illness did not subside. So on (Date), I had to be re-admitted to the hospital and was kept under observation for a few days.
The operation was performed at (Hospital), (Place). (Doctor), who performed my surgery, prohibited me from doing any heavy work for a year.
I have been appointed as Presiding/ 1st/ 2nd/ 3rd polling officer for the upcoming election. In such a physical condition this responsibility is too dangerous for me.
So, Sir, I have told you all my issues. In such a situation, if you cancel my election duty, I shall be highly obliged for your kind references.
Thank You
(Your Name)
Date-
