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GOPALAN A/L RAMAN Lot 813 Batu 18 Sungai Tangkas Jln Bangi 43000 Kajang Selangor Darul Ehsan.

. cc : ALLIANZ LIFE INSURANCE MALAYSIA BERHAD Operation Support Department Alternative Distribution Divison Level 27 Wisma Uoa II No 21 Jln Pinang 50450 Kuala Lumpur WP Kuala Lumpur Malaysia

28 MARCH 2011

Dear Sir /Madam CANCEL OF POLICY. Refer to the above matter, I Gopalan a/l Raman the owner of Double Storey Shoplot at No 31 Jln 1/5 section 1 Bandar Teknologi Kajang 43500 Semenyih , Sel has already sold the property. By this, I insist to cancel the following policy, 0000341185 on this property and refund of any excess premium. Thank you.

Yours sincerely ,

. GOPALAN A/L RAMAN (590222-08-5971)

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