Submit (ICM) Below Documentation
Agent Name and Address.
Menara Great Eastern
303, Jalan Ampang,
50450 Kuala Lumpur. XX April 20XX
Attention: Policy Service Department
Dear Sir/ Madam,
To cancel Policy: 10XXXXXXXX (Policy Number) as per request by client
Refer to above matter.
Kindly cancel the above policy within free look period as per requested by my client, please refund the premium paid to my client saving account as per updated during MPOS submission.
Please be informed that my client still yet receive the interim payment receipt till now.
Looking forward your prompt action.
Thank you.
Yours faithfully,
…………………………………..
(Agent Name)
NRIC:
Agent Code:
Client Address.
Menara Great Eastern
303, Jalan Ampang,
50450 Kuala Lumpur. XX April 20XX
Attention: Policy Service Department
Dear Sir/ Madam,
To cancel Policy: 10XXXXXXXX(Policy Number)
Kindly cancel the above policy within free look period by refund the premium paid to my saving account as per updated during submission.
Please be informed that I still yet receive the interim payment receipt till now.
Looking forward your prompt action.
Thank you.
Yours faithfully,
…………………………………..
(Client Name)
NRIC:
Mobile:
Form Name:
Direct Credit Facility (EN)
CSD-FDCFF-V03-092021 (EN)
Due to company will update form version from times to times,
kindly download latest version direct from Gesica or Epartner.
For refund premium to client bank account.