To Date: XX.XX.

20XX

The SDE/JTO, BSNL

[Name of the Place]

Sub: Disconnection of my BSNL [Broadband/Landline/Wimax/Mobile]

Sir,

With reference to the subject mentioned above, I [Your Name] would like to
disconnect my BSNL [Broadband/Landline/Wimax/Mobile] connection due to
[Mention your reason. For example financial constraint, moving to some other
city or poor service].

So, I request you to take the necessary action to complete the disconnection
process and refund of security deposit at the earliest.

Enclosure:

1. Surrender form.
2. Payment receipt of your bill along with the bill copy

Thanking You

[Your Name]

[Your Address]

[Your Landline/Mobile/Wimax No: ]

[Your Alternate Mobile No: ]