Dear Sir or Madam,

Please allow this letter to constitute my formal demand for cancellation of MAS II Insurance.
This cancellation will be effective as of ____ date.

I would appreciate receiving written confirmation of this cancellation within 30 days. Please do
not hesitate to contact me with any questions. I request you to send a cancellation
confirmation letter related to the MAS II insurance. Please treat the matter as urgent and
process it at the earliest.

I am writing this cancellation letter to withdraw my life insurance policy with your company. My policy
number is …………… (Policy no.) And it should be effective from……….(mention date).

Please accept this letter as a formal request for canceling my life insurance policy,
108978, with immediate effect. I request you to stop all charges and debits as well
related to the payments. I can produce receipts of all premium paid during the tenure of
this policy.

I at this moment request to cancel and return the premium I have paid earlier. This
cancellation request should be processed within a 30 day period from the date of this
letter.

I request you to send a cancellation confirmation letter related to the policy. Please treat
the matter as urgent and process it at the earliest.

Yours Sincerely,