To be printed on banks letterhead

Date:

To: Name
(NRIC No.)
Address

Re: Full and Final Settlement of Wrong Debiting of Account No. ***.

Reference is made to the above matter wherein the sum of Ringgit Malaysia Sixteen Thousand
(RM16,000.00) only was not debited to Account Name & Account No. on date.

On behalf of the bank, we would like to apologise for our foresight on this matter. In order to make good
on the Banks mistake and as full and final settlement of this matter, the Bank is offering to debit into
Account Name & Account No. the sum of Ringgit Malaysia Sixteen Thousand (RM16,000.00) only within
24 hours of your acceptance of the Banks offer for settlement.

Kindly indicate your acceptance of the Banks offer for settlement by signing below.

Thank you.

Yours faithfully,

.
Name and Position of person executing this letter for the Bank

I, Name (NRIC No.) of Address hereby accept the Banks offer of Ringgit Malaysia Sixteen Thousand
(RM16,000.00) only to be debited into Account Name & Account No. as full and final settlement with
the Bank for not debiting the sum of Ringgit Malaysia Sixteen Thousand (RM16,000.00) to Account
Name & Account No. on date. I further confirm that I will not take any further action or make any claim
against the Bank for any and whatsoever matter arising from the Banks act or omission in not debiting
the sum of Ringgit Malaysia Sixteen Thousand (RM16,000.00) to Account Name & Account No. on
date.

.
Name
NRIC No.
Account No.
Date: