Date :

Name :

Address :

TC EURO CARS SDN. BHD.

Lot 1A, Jalan Kemajuan, Section 13,
Petaling Jaya, 46200.
Selangor.

Dear Sir / Madam,

RE: CANCELLATION OF GOCAR SUBS PROGRAM

I would like to cancel the subscription of the following vehicle immediately.

A. PARTICULARS OF THE SAID VEHICLE

Make / Model : Chassis No. :

Colour : Registration No.:

B. PARTICULARS OF USER

Name : Contact No. :

NRIC No. :

C. PARTICULARS OF BANK ACCOUNT FOR REFUND

Account Holder Name :
Bank Name :
Account No. :

Based on the conditions stipulated in the GoCar Subscription Terms & Conditions, I understand that
the Security Deposit will be refunded to me within two (2) months from the date of expiry of the Term.

Thank you.

Regards,

For Office Use Only

Security Deposit Amount:

Name:
Refund Approved By:
IC No.:

Name:
Designation:
Date: