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Date: 23/09/2013 Attn: Cancellations Department

Sun Life Malaysia Takaful Berhad (6892630m)


(formerly known as CIMB Aviva Takaful Berhad) Level 11, 338 Jalan Tuanku Abdul Rahman 50100 Kuala Lumpur Malaysia Re: Cancellation of Policy #: LEA201300037465 To Whom It May Concern: Please consider this letter as a formal request to cancel the referenced life insurance policy. Please stop all debits or charges for premium payments. The effective of policy cancellation is immediately. Below are the details of the policy: Contract no. Contract holder Person Covered Plan : LEA201300037465 : MOHAMMAD ASRAF BIN RIDZUAN : MOHAMMAD ASYRAF BIN RIDZUAN : LiveLife

I am also requesting written confirmation of the cancellation and the return of any premiums. The cash value of the policy should also be sent with any returned premium. This action needs to occur within a period of 30 days from the receipt of this letter.

Sincerely,

MOHAMMAD ASYRAF BIN RIDZUAN


38, JALAN JAMBU 2, TAMAN JAMBU, 14020 MACANG BUBUK, BUKIT MERTAJAM, PULAU PINANG

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