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Maternity Leave Application (Pakistan)

Maternity Leave Application (Pakistan)

To,

[HR Manager Name]

[Employer Name]

[Employer Address]

Date: [Application Date]

APPLICATION FOR MATERNITY LEAVE AND MATERNITY BENEFIT

Under the Maternity Benefit Ordinance 1958 and Applicable Provincial Legislation

Respected Sir/Madam,

I, [Employee Name] (CNIC: [Employee CNIC]), Employee ID [Employee ID], employed as [Designation] in the [Department] Department of [Employer Name] since [Date Of Joining], hereby formally apply for maternity leave under the statutory entitlement described below.

1. MATERNITY LEAVE REQUESTED

Expected Date of Confinement (EDC): [Expected Delivery Date], as certified by my registered medical practitioner. A copy of the medical certificate is attached herewith.

Leave period requested: [Leave Start Date] to [Leave End Date] — total [Total Leave Weeks].

Statutory basis: [Statutory Basis] — applicable to establishments in [Applicable Province].

2. MATERNITY BENEFIT CLAIM

In accordance with Section 5 of the Maternity Benefit Ordinance 1958, I hereby claim my maternity benefit — full wages for the entire leave period — to be paid within 48 hours of this notice or in such instalments as the employer's HR policy provides.

I note that Section 4 of the Maternity Benefit Ordinance 1958 expressly prohibits the employer from discharging, dismissing, or reducing the wages of a female worker on account of maternity leave or notice thereof. Any such action would constitute a criminal offence under Section 13 of the Maternity Benefit Ordinance 1958.

3. RETURN TO WORK

I intend to return to my position as [Designation] upon expiry of the maternity leave period on [Leave End Date]. I request that my position, salary, benefits, and EOBI contributions be maintained during the leave period and that I be reinstated to the same or equivalent position on my return, consistent with the requirements of the Industrial Relations Act 2012 and the Standing Orders Ordinance 1968.

I request you to kindly approve this maternity leave application and process the maternity benefit payment as required by law. Please acknowledge receipt of this application in writing.

Yours faithfully,

[Employee Name]

CNIC: [Employee CNIC]

Designation: [Designation]

Employee ID: [Employee ID]

Signature: _________________________

Date: [Application Date]

Enclosures: (1) Medical certificate from registered medical practitioner confirming EDC; (2) CNIC copy; (3) SSI registration certificate (if applicable).

FOR EMPLOYER USE — ACKNOWLEDGEMENT

Application received by: _________________________

Date received: _________________________

Leave approved from: _____________ to: _____________

Maternity benefit payment arranged: Yes / No

Authorised Signature: _________________________

Official Stamp: _________________________

Employee (Applicant)

________________

Signature

HR Manager / Employer Representative

________________

Signature

Maintained by Vladislav Sergienko, Founder·Template last modified: ·Report an error

What Is a Maternity Leave Application (Pakistan)?

A Maternity Leave Application in Pakistan is the formal written request submitted by a female employee to her employer seeking paid maternity leave before and after childbirth, in exercise of her statutory rights under the Maternity Benefit Ordinance 1958 and the applicable provincial maternity benefit legislation. The Maternity Leave Application (Pakistan) serves as the triggering document for the employer's obligation to grant paid leave and pay maternity benefit as prescribed by law.

The Maternity Benefit Ordinance 1958 (Ordinance No. XXXII of 1958) is the central federal statute governing maternity rights for female workers in establishments employing ten or more workers in Pakistan. The Ordinance applies to workers employed in factories registered under the Factories Act 1934, mines regulated under the Mines Act 1923, and plantations covered by the West Pakistan Plantation Workers Ordinance 1970. Section 4 of the Maternity Benefit Ordinance 1958 prohibits an employer from discharging or dismissing a female worker while she is on maternity leave or from reducing her pay during the maternity leave period.

The provinces of Pakistan have enacted or adopted their own maternity benefit legislation following the 18th Constitutional Amendment 2010, which transferred labour matters to the provincial list under the Constitution of Pakistan 1973. Punjab enacted the Punjab Maternity Benefit Ordinance 1958 (adopted with amendments), Sindh enacted the Sindh Maternity Benefit Act 2018 which expanded entitlements, Khyber Pakhtunkhwa (KPK) operates under the KPK Maternity Benefit Rules, and Balochistan follows the Balochistan Maternity Benefit Act 2018. The federal Islamabad Capital Territory (ICT) continues to apply the Maternity Benefit Ordinance 1958 directly.

Under the Maternity Benefit Ordinance 1958, a female worker is entitled to paid maternity leave of twelve weeks — six weeks before the expected date of confinement and six weeks after delivery. The Sindh Maternity Benefit Act 2018 extended the entitlement to sixteen weeks in Sindh-registered establishments. The maternity benefit is paid at the rate of the worker's wages for the entire leave period. Section 5 of the Maternity Benefit Ordinance 1958 requires the employer to pay maternity benefit within 48 hours of the worker presenting a notice of her leave.

The eligibility condition under Section 3 of the Maternity Benefit Ordinance 1958 requires the female worker to have been employed for a minimum of four months in the establishment immediately before the expected date of delivery. Workers who have not completed four months of continuous employment are not entitled to statutory maternity benefit under the Ordinance but may have contractual rights under their employment agreement.

The West Pakistan Industrial and Commercial Employment (Standing Orders) Ordinance 1968 (Standing Orders Ordinance) supplements the Maternity Benefit Ordinance 1958 for industrial and commercial establishments by requiring employers to frame Standing Orders that explicitly state maternity leave entitlements. The Standing Orders must be approved by the Labour Court under the Industrial Relations Act 2012 (IRA 2012) and must include a maternity leave policy consistent with the Maternity Benefit Ordinance 1958.

The Pakistan Employees Social Security Ordinance 1965 (PESSO), administered by the Employees Old-Age Benefits Institution (EOBI) and provincial Social Security Institutions (SSIs), provides a maternity benefit to registered female workers in addition to the employer-paid benefit. Female workers registered with the Punjab Employees Social Security Institution (PESSI), Sindh Employees Social Security Institution (SESSI), KPK Employees Social Security Institution, or Balochistan Employees Social Security Institution are entitled to maternity benefit from their respective SSI, subject to a minimum contribution period.

When Do You Need a Maternity Leave Application (Pakistan)?

A Maternity Leave Application in Pakistan is required in every situation where a female employee needs to formally notify her employer of her intention to take maternity leave and claim her statutory maternity benefit.

A Maternity Leave Application is needed when a pregnant female worker employed in a factory, commercial establishment, mine, or plantation covered by the Maternity Benefit Ordinance 1958 reaches the stage of pregnancy where she intends to commence pre-delivery maternity leave. Section 5 of the Maternity Benefit Ordinance 1958 requires the worker to give advance notice of her intention to take maternity leave, and most employers require a written application together with a medical certificate from a registered medical practitioner (RMP) confirming the expected date of confinement.

A Maternity Leave Application is required when a female civil servant employed by the Federal Government applies for maternity leave under the Federal Employees Benevolent Fund and Group Insurance Act 1969 and the Civil Servants (Leave) Rules 1981. Female civil servants in Pakistan are entitled to maternity leave under Rule 19 of the Civil Servants (Leave) Rules 1981, which provides for full pay maternity leave of three months. The application is submitted to the Establishment Division or the relevant ministry's HR department.

A Maternity Leave Application is needed when a female teacher employed by a provincial government school or college applies for maternity leave under the relevant provincial Education Department's leave rules. Provincial government teachers in Punjab, Sindh, KPK, and Balochistan have separate maternity leave entitlements under their respective service rules, which may be more generous than the Maternity Benefit Ordinance 1958 minimum.

A Maternity Leave Application is required when a female employee in the private sector covered by the West Pakistan Industrial and Commercial Employment (Standing Orders) Ordinance 1968 applies for maternity leave under the employer's Standing Orders. Large private sector employers in Pakistan — including multinational corporations, banks regulated by the State Bank of Pakistan (SBP), and listed companies — typically have maternity policies that meet or exceed the statutory minimum, and a formal application confirms that the leave is properly recorded in the HR system.

A Maternity Leave Application is needed when a female worker who has delivered a child prematurely or suffered a miscarriage or stillbirth seeks maternity benefit — the Maternity Benefit Ordinance 1958 and provincial equivalents extend benefit entitlement in cases of stillbirth and miscarriage after a specified gestational period. The application in such cases should be accompanied by a medical report from a hospital or registered medical practitioner.

A Maternity Leave Application is required when a female employee wants to preserve her record and confirm continuity of her service record, EOBI contributions, and social security registration during the maternity leave period. The Labour Prosecution Authority under provincial Labour Departments investigates complaints of employers who fail to grant statutory maternity leave or withhold maternity benefit — a formal written application is essential evidence in any such complaint.

What to Include in Your Maternity Leave Application (Pakistan)

A valid Maternity Leave Application in Pakistan under the Maternity Benefit Ordinance 1958 and applicable provincial legislation must contain the following essential elements.

Employee Identification: Full legal name of the female employee exactly as on her NADRA CNIC, employee identification number, designation and department, name and address of the employer/establishment, and date of joining the employment. The employment period must be at least four months (as required by Section 3 of the Maternity Benefit Ordinance 1958) for the statutory entitlement to arise.

Leave Period Requested: The specific dates for commencement and end of maternity leave — pre-delivery leave (typically six weeks before the expected date of confinement) and post-delivery leave (typically six weeks after delivery). Under the Sindh Maternity Benefit Act 2018, the total entitlement is sixteen weeks. The application should state the total number of weeks requested and the basis under the applicable statute.

Expected Date of Confinement (EDC): The date of expected delivery as certified by a registered medical practitioner (RMP) or a public hospital. A medical certificate from an RMP registered with the Pakistan Medical Commission (PMC) under the Pakistan Medical Commission Act 2020 confirming the pregnancy, expected delivery date, and fitness to work until commencement of leave must be attached to the application.

Statutory Basis: The application should cite the specific legal provision entitling the worker to maternity leave — Section 3 and Section 4 of the Maternity Benefit Ordinance 1958 for federal and most provincial establishments, or the relevant provincial statute (Sindh Maternity Benefit Act 2018, Punjab equivalent, KPK or Balochistan rules). This confirms the employer cannot claim ignorance of the legal entitlement.

Maternity Benefit Claim: A clear statement that the employee is claiming her maternity benefit (paid wages during leave) as prescribed under Section 5 of the Maternity Benefit Ordinance 1958, and that the benefit should be paid within 48 hours of the leave notice, or in such instalments as the employer's HR policy provides. The benefit amount is the employee's full wages as defined under the applicable law.

Social Security Benefit: If the employee is registered with a provincial Social Security Institution (PESSI/SESSI or equivalent), a statement that the social security maternity benefit claim will also be submitted separately through the SSI's online portal or local office, and that the employer's contribution to the SSI is expected to continue during the leave period.

Job Protection Clause: A reference to Section 4 of the Maternity Benefit Ordinance 1958, which prohibits the employer from discharging or dismissing the female worker on account of maternity leave or notice thereof. The application serves as written notice to the employer that any adverse action during the maternity leave period is a criminal offence under the Ordinance, punishable by fine and imprisonment under Section 13 of the Maternity Benefit Ordinance 1958.

Return to Work Arrangement: A statement of the employee's intention to return to work upon expiry of the maternity leave, and any request for a phased return or flexible working arrangement under any applicable HR policy. The Industrial Relations Act 2012 and the Standing Orders Ordinance 1968 require employers to reinstate female workers to their same or equivalent position upon return from maternity leave.

Forms-legal.com provides this Maternity Leave Application (Pakistan) template as a practical starting point for female employees across all provinces. The application should be submitted in writing (in person, by registered post, or by email with read receipt) to the HR department and the immediate supervisor, with a copy retained by the employee. Workers whose maternity benefit is denied may file a complaint with the District Labour Officer under the provincial Labour Department or initiate proceedings before the Labour Court under the Industrial Relations Act 2012.

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Reference this free template in an article, syllabus, or research note:

APA

Forms Legal. (2026). Maternity Leave Application (Pakistan) (Pakistan) [Legal document template]. Forms Legal. https://forms-legal.com/pakistan/employment/hr-forms/maternity-leave-application-pakistan

MLA

"Maternity Leave Application (Pakistan) (Pakistan)." Forms Legal, 2026, https://forms-legal.com/pakistan/employment/hr-forms/maternity-leave-application-pakistan.

BibTeX
@misc{formslegal-maternity-leave-application-pakistan,
  author       = {{Forms Legal}},
  title        = {Maternity Leave Application (Pakistan) (Pakistan)},
  year         = {2026},
  howpublished = {\url{https://forms-legal.com/pakistan/employment/hr-forms/maternity-leave-application-pakistan}},
  note         = {Free legal document template}
}

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Frequently Asked Questions

Statute-referenced template — Template last modified June 2026

This template is provided for informational purposes only and does not constitute legal advice. Laws vary by jurisdiction and change over time. Consult a qualified attorney for advice specific to your situation.Full disclaimer

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