Hanako Yamada
7F Mitomi Bldg., 1-20-22 Ebisu
Shibuyaku Tokyo 150-0013
Japan
Oct. 28, 2007←手紙を書いた日付
↓相手の学校（Admission Office）の住所
Office of Admission
Central Community College
1234 College Road
Los Angeles, CA 95823
U.S.A.
Dear Sir or Madam,←担当者（名前が分かっている場合はMr. / Ms. xxx）
↓本文
I am writing in regard to the acceptance letter that I received from your school for the Sociology Department.
Application number: 20071029
Unfortunately, I have decided to enroll another institution, and will be unable to enroll your program this time. Thus, I have to withdraw my application to your university. Thank you very much for your consideration.
Hanako Yamada
7F Mitomi Bldg., 1-20-22 Ebisu
Shibuyaku Tokyo 150-0013
Japan
Oct. 28, 2007←手紙を書いた日付
↓相手の学校（Admission Office）の住所
Office of Admission
Central Community College
1234 College Road
Los Angeles, CA 95823
U.S.A.
Dear Sir or Madam,←担当者（名前が分かっている場合はMr. / Ms. xxx）
↓本文
I am writing in regard to the acceptance letter that I received from your school for the Sociology Department.
Application number: 20071029
Unfortunately, I have decided to enroll another institution, and will be unable to enroll your program this time. Thus, I have to withdraw my application to your university. Thank you very much for your consideration.
Yours faithfully,
↓自筆で署名
Hanako Yamada