Surat Batal Insuran

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Mohd Azali Bin Talib

Batu 17, Kg. Lendu Hilir,


78000 Alor Gajah,
Melaa.
A!eri"an #nternational A$$uran"e Bhd.,
Menara A#A, %% &alan A!'ang,
(0)(0 Kuala Lu!'ur 18 *o+e!ber ,011
Tuan,
MEMOHON UNTUK MEMBATALKAN POLISI INSURAN
-a.a Mohd Azali Bin Talib, *o Kad /engenalan 790810-0-!08" ingin !e!batalan ,
'oli$i in$uran $a.a $erta0!erta dan !e!ohon 'e!ulangan $e!ula 1ang in$uran .ang
telah di'otong dari aaun ad redit $a.a. *o 'oli$i in$uran $a.a ada $e'erti beriut
1. 2(308%1,0045M8(.(06
2. 2(307,803045M1,%.306
-a.a ingin !e!batalan 'oli$i in$uran $a.a erana !a$alah 'eribadi. -a.a berhara'
'iha tuan da'at !eneri!a dan !e!batalan 'oli$i in$uran $a.a.
Kerja$a!a dari 'iha tuan $a.a dahului dengan u"a'an ribuan teri!a a$ih.
-eian.
7ang benar,
888888888888888888
4M9H: A;AL# B#* TAL#B6

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