The ____________ (Concerned Authoirty/Customer Relation Officer),
____________ (Company Name),
____________ (Address)

Date: __/__/____ (Date)

____________ (Name),
____________ (Address)

Subject: Request for a penalty waiver

Respected Sir/Madam,

With due respect I would state that I have a _____________ (Mobile/ Landline/ Cable) connection of your company from last ____________ (Duration) months/ years having account number __________ (Account Number) and_________ (customer id number).

I beg to state that payment of Rs. _______ (Amount) for monthly cycle was due on ________ (Date) and due to the reason _______________ (Reason: unavailability/ busy schedule/bill issue) I failed to pay the above-said amount.

I request you to kindly accept my sincere apology and if possible waive the late fee penalty of ___________ (amount). Also, I ensure this will not be repeated. I shall be highly obliged for the same.

Thanking you,

Yours Truly,
____________ (Name),
____________ (Contact Number)

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