Your name

Address 1
Address 2
Address 3
Postcode City,
State
Manager
Bank branchs name
Address 1
Address 2
Address 3
Postcode City,
State
Date: 24 April 2012
Dear Sir/Madam,
CANCELLATION OF DIRECT DEBIT
Please cancel the direct debit Instruction detailed below with effect from DDMMYY.
Account number: 012123456789
I.C./passport number: 880808-08-8888
Originator Name: (name of organisation collecting the direct debit)
Originator Number: (if known)
Reference: (Insert the Direct Debit narrative from your bank statement)
Amount: RM 8,888.88 /month.
Due Date of direct debit: 27 May 2012
This cancellation of auto transfer has been agreed by the originator.
Yours truly,
_____________
Your name
(I.C./Passport Number)