Cancellation Form

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Date: ____________

Manager
Policy Services
Sun Life Malaysia Assurance Berhad
Sun Life Malaysia Takaful Berhad

Dear Sir,

Policy no/Contract no

: __________________

Policy owner/Contract owner name

: __________________

Life assured/Person covered name

: __________________

Plan

: __________________

REQUEST TO CANCEL POLICY


Please cancel the above-mentioned policy/contract with immediate effect.

Thank you.

Yours sincerely

_____________________________
Policy owner/Contract owner
NRIC No:
Address:
Contact No:

DMTM Cancellation - PS/FS/4Jun13

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