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  • AmPro PA Canx Form

    Transféré par

    Azrul Azmi Adnan
    24 vues1 page
    This document is a request form to cancel an AmPro PA insurance policy. It includes fields for the policy number, period of insurance, NRIC number, requested cancellation date, and reason for cancellation. The insured can select that they have another similar policy, cannot afford the premium, or specify other reasons for cancelling the AmPro PA policy.

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    AmPro PA Canx form

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    © Attribution Non-Commercial (BY-NC)

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    This document is a request form to cancel an AmPro PA insurance policy. It includes fields for the policy number, period of insurance, NRIC number, requested cancellation date, and reason for cancellation. The insured can select that they have another similar policy, cannot afford the premium, or specify other reasons for cancelling the AmPro PA policy.

    Droits d'auteur :

    Attribution Non-Commercial (BY-NC)
    Téléchargez comme DOC, PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    24 vues1 page

    AmPro PA Canx Form

    Transféré par

    Azrul Azmi Adnan
    This document is a request form to cancel an AmPro PA insurance policy. It includes fields for the policy number, period of insurance, NRIC number, requested cancellation date, and reason for cancellation. The insured can select that they have another similar policy, cannot afford the premium, or specify other reasons for cancelling the AmPro PA policy.

    Droits d'auteur :

    Attribution Non-Commercial (BY-NC)
    Téléchargez comme DOC, PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    sur 1

    For Office Use :

    By Hand / Fax/ Mail

    Date : ………………………………………….

    Name :

    Address:
    ………………………………………….

    ………………………………………….

    ………………………………………….
    Tel :

    AmG Insurance Berhad


    Operations Dept
    9th Floor Bangunan AmAssurance
    No. 1 Jalan Lumut
    50400 Kuala Lumpur

    Dear Sir / Madam,

    RE : POLICY CANCELLATION REQUEST ( AmPro PA )


    POLICY NO :
    PERIOD OF INSURANCE :
    NRIC :

    With reference to the above matter, please arrange to cancel the policy issued to me with effect from
    …………………….. due to :-

    Please tick ( / )

    ( ) Have existing policy with similar / equal benefits


    ( ) Cannot afford premium
    ( ) Others ( please specify ) ………………………………………………………………………………

    Thank you.

    Yours sincerely,

    ……………………………

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