diff --git a/src/main/java/org/avniproject/etl/repository/sync/CleanEncounterCancelTableAction.java b/src/main/java/org/avniproject/etl/repository/sync/CleanEncounterCancelTableAction.java
new file mode 100644
index 0000000..914d567
--- /dev/null
+++ b/src/main/java/org/avniproject/etl/repository/sync/CleanEncounterCancelTableAction.java
@@ -0,0 +1,62 @@
+package org.avniproject.etl.repository.sync;
+
+import org.avniproject.etl.domain.NullObject;
+import org.avniproject.etl.domain.OrgIdentityContextHolder;
+import org.avniproject.etl.domain.metadata.SchemaMetadata;
+import org.avniproject.etl.domain.metadata.TableMetadata;
+import org.avniproject.etl.repository.sql.SqlFile;
+import org.springframework.beans.factory.annotation.Autowired;
+import org.springframework.jdbc.core.JdbcTemplate;
+import org.springframework.stereotype.Repository;
+import org.stringtemplate.v4.ST;
+
+import java.util.Arrays;
+import java.util.Date;
+
+import static org.avniproject.etl.repository.JdbcContextWrapper.runInOrgContext;
+
+@Repository
+public class CleanEncounterCancelTableAction implements EntitySyncAction {
+    private final JdbcTemplate jdbcTemplate;
+    private static final String deleteUncancelledEncountersSqlTemplate = SqlFile.readSqlFile("deleteUncancelledEncounters.sql.st");
+    @Autowired
+    public CleanEncounterCancelTableAction(JdbcTemplate jdbcTemplate) {
+        this.jdbcTemplate = jdbcTemplate;
+    }
+
+    @Override
+    public void perform(TableMetadata tableMetadata, Date lastSyncTime, Date dataSyncBoundaryTime, SchemaMetadata currentSchemaMetadata) {
+        if (this.doesntSupport(tableMetadata)) {
+            return;
+        }
+        cleanUncancelledEncounters(tableMetadata);
+    }
+
+    private void cleanUncancelledEncounters(TableMetadata tableMetadata) {
+        String schema = OrgIdentityContextHolder.getDbSchema();
+        String encounterCancelTableName = tableMetadata.getName();
+        String primaryTableName = encounterCancelTableName.substring(0, encounterCancelTableName.length() - 7);
+        String sql = new ST(deleteUncancelledEncountersSqlTemplate)
+                .add("schemaName", wrapInQuotes(schema))
+                .add("encounterCancelTableName", wrapInQuotes(encounterCancelTableName))
+                .add("primaryTableName", wrapInQuotes(primaryTableName))
+                .render();
+        runInOrgContext(() -> {
+            jdbcTemplate.execute(sql);
+            return NullObject.instance();
+        }, jdbcTemplate);
+    }
+
+    private String wrapInQuotes(String parameter) {
+        return parameter == null ? "null" : "\"" + parameter + "\"";
+    }
+
+    private boolean supports(TableMetadata tableMetadata) {
+        return Arrays.asList(TableMetadata.Type.IndividualEncounterCancellation, TableMetadata.Type.ProgramEncounterCancellation).contains(tableMetadata.getType());
+    }
+
+    public boolean doesntSupport(TableMetadata tableMetadata) {
+        return !supports(tableMetadata);
+    }
+
+}
diff --git a/src/main/java/org/avniproject/etl/repository/sync/EntityRepository.java b/src/main/java/org/avniproject/etl/repository/sync/EntityRepository.java
index 96e3f8e..d3f65e1 100644
--- a/src/main/java/org/avniproject/etl/repository/sync/EntityRepository.java
+++ b/src/main/java/org/avniproject/etl/repository/sync/EntityRepository.java
@@ -24,6 +24,7 @@ public EntityRepository(TransactionalTablesSyncAction transactionalTablesSyncAct
                             SyncTelemetryTableSyncAction syncTelemetryTableSyncAction,
                             UserTableSyncAction userTableSyncAction,
                             CleanEnrolmentExitTableAction cleanEnrolmentExitTableAction,
+                            CleanEncounterCancelTableAction cleanEncounterCancelTableAction,
                             RepeatableQGTransactionTablesSyncAction repeatableQGTransactionTablesSyncAction) {
         entitySyncRepositories.add(transactionalTablesSyncAction);
         entitySyncRepositories.add(addressTableSyncAction);
@@ -34,6 +35,7 @@ public EntityRepository(TransactionalTablesSyncAction transactionalTablesSyncAct
         entitySyncRepositories.add(syncTelemetryTableSyncAction);
         entitySyncRepositories.add(userTableSyncAction);
         entitySyncRepositories.add(duplicateRowDeleteAction);
+        entitySyncRepositories.add(cleanEncounterCancelTableAction);
         entitySyncRepositories.add(cleanEnrolmentExitTableAction);
     }
 
diff --git a/src/main/resources/sql/etl/deleteUncancelledEncounters.sql.st b/src/main/resources/sql/etl/deleteUncancelledEncounters.sql.st
new file mode 100644
index 0000000..2ace362
--- /dev/null
+++ b/src/main/resources/sql/etl/deleteUncancelledEncounters.sql.st
@@ -0,0 +1,4 @@
+delete from <schemaName>.<encounterCancelTableName>
+using <schemaName>.<primaryTableName>
+where <schemaName>.<encounterCancelTableName>.id = <schemaName>.<primaryTableName>.id
+and <schemaName>.<primaryTableName>.cancel_date_time is null;
\ No newline at end of file