__________ (Sender’s Details)

Date: __/__/____ (Date)

__________ (Receiver’s Details)

Subject: Requesting for exemption of online payment

Respected Sir/ Madam,

With due respect, I am __________ (Mention Your Name). This is to bring to your kind notice that I have a payment due for __________ (Bill/ subscription/ product bought, any other) dated __________ (Mention date) of amount __________ (Mention Amount). My __________ (Customer ID number/ order number, any other).

I request you to kindly grant me an exemption for the above-mentioned. I will not be able to pay the amount online due to __________ (Mention reason – Online payment platform not working, unable to make payment online/card not acceptable, any other). Also, I am a regular __________ (Payer/ Customer) of your service and I have no such dues pending in the past. In this regard, I request you to kindly exempt my payment online so that I will be able to make payment through offline mode i.e. ____________ (mention another mode of payment – cheque/cash/account transfer/other)

I hope you will accept my request and allow me to make the transaction offline this time. If you have any query regarding the same, kindly contact me on __________ (Mention contact details).

Thanking you,

__________ (Signature)
__________ (Name)
__________ (Contact details)