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Roberly M.

Ampong
P-1 Brgy. 21 Mahogany Butuan City
Agusan Del Norte, 8600

April 29, 2022

Insurance Company Medishield

Good Day all

Ma’am/Sir, Please grant my request for an effective termination of my Insurance

Insurance Name: MediShield Plus Insurance

Reason:
-Change of mind for being insured under Medishield Insurance
-Not giving exact information about the payment and
-Unresponsive Customer Hotline Insurance

Account Details:
Account Name: Roberly M Ampong
Account Number: 4055 9920 5393 0396

Hoping for you kind consideration

Sincerely,

Roberly M Ampong

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