To,
__________ (Gas Connection Distributor Name)
__________ (Gas Connection Distributor Address
Date: __/__/____
Subject: Application for Surrender Gas Connection
Sir/Madam,
I, _______________ (Applicant Name), son of/ daughter of/ wife of _______________ residing at __________ (Address) having a _______ (LPG/PNG) connection in the name of _________ (Connection Holder Name) having customer Identification Number ___________ (CIF ID). I hereby write to surrender my Gas connection as __________ (reason for surrendering gas connection).
As per the policy, I request you to refund my security deposit.
I am enclosing _________ (gas connection surrender form/KYC documents/ Bank Account Details/Cancellation Fee -if applicable ) along with the application.
Thank you,
Signature: _____________
Your Name: __________
Mobile number: _________
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