-  (1) An employee shall be entitled to twelve days of sick leave each year.
(2) Employees will receive full salary while on sick leave.
(3) If the employee becomes disabled and does not have enough accumulated sick leave, he can be given advance sick leave up to a maximum of twelve days.
(4) Employees will not be entitled to sick leave during the period of extraordinary leave.
(5) Employees requesting sick leave for a period of more than seven days shall submit an approved doctor's certificate. But if the authorizing officer believes that it would not be possible to submit such a certificate, he may approve the said leave without the certificate.
(6) The employee will be able to save the sick leave that he has accrued.
(7) If the employee is separated from the service for any reason, he will be entitled to receive a lump-sum payment for his accrued sick leave at the rate of salary from the position he is entitled to.
(8) If an employee dies without being able to take the accrued sick leave amount, the person as per sub-section (5) of section 50 of the Act shall be entitled to receive the accrued sick leave amount as a lump sum.
(9) If there is insufficient sick leave and home leave to treat a major or serious illness, the employee may take additional sick leave up to forty-five days in advance by submitting a certificate from an approved doctor and deducting it from the sick leave and home leave he will receive later. Employees who have taken sick leave in advance will get full salary.
(10) If the leave taken according to sub-rule (9) is insufficient and additional leave needs to be taken, upon the recommendation of the medical board appointed by the Government of Nepal, the employee may take a maximum of one year of extraordinary leave during the entire service period by deducting it from the extraordinary leave. (11) In case of death of an employee who has taken sick leave in advance according to sub-rule (9), the sick leave so taken in advance will automatically be waived.