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19 December 2011

Policyowner Services Dept,


Level 8,
Menara AIA,
99, Jalan Ampang,
50450 Kuala Lumpur.
Re: Policy Number: W5######## Cancellation
I am sending you this written notice to request cancellation of my insurance pol
icy effective Oct 3, 2011. I would appreciate you sending me written confirmatio
n within 30 days that the cancellation has been put into effect. Please refund t
he unused portion of my policy premium (RM###.##), and cease charging my bank ac
count for payment of monthly premiums.
Thank you for your prompt attention to this matter.

Sincerely,

___________________________
( your name)
(your full adress)

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