diff --git a/com.twin.app.shoptime/src/actions/myPageActions.js b/com.twin.app.shoptime/src/actions/myPageActions.js
index b8fa6df7..38bc1b5e 100644
--- a/com.twin.app.shoptime/src/actions/myPageActions.js
+++ b/com.twin.app.shoptime/src/actions/myPageActions.js
@@ -182,8 +182,22 @@ export const deleteMyFavorite = (params) => (dispatch, getState) => {
 // MyPage 약관 철회 (IF-LGSP-032)
 export const setMyTermsWithdraw =
   (params, callback) => (dispatch, getState) => {
+    let localMacAddress;
     const { mandatoryIncludeYn, termsList } = params;
 
+    // 약관철회 파라미터 추가 로그 요청
+    const httpHeader = getState().common.httpHeader;
+    const macAddress = getState().common.macAddress;
+    const userNumber = getState().common.appStatus.loginUserData.userNumber;
+
+    const macAddr = macAddress?.wired ? macAddress?.wired : macAddress?.wifi;
+
+    if (typeof window === "object" && !window.PalmSystem) {
+      localMacAddress = "00:1A:2B:3C:4D:5E";
+    }
+    const logCreateTime = new Date().toISOString();
+    const xDeviceProduct = httpHeader["X-Device-Product"] || httpHeader.prod_cd;
+
     const onSuccess = (response) => {
       console.log("setMyTermsWithdraw onSuccess ", response.data);
 
@@ -205,7 +219,14 @@ export const setMyTermsWithdraw =
       "post",
       URLS.SET_MY_TERMS_WITHDRAW,
       {},
-      { mandatoryIncludeYn, termsList },
+      {
+        mandatoryIncludeYn,
+        termsList,
+        xDeviceProduct,
+        macAddr: macAddr ? macAddr : localMacAddress,
+        userNumber,
+        requestTime: logCreateTime,
+      },
       onSuccess,
       onFail
     );
@@ -223,14 +244,17 @@ export const setMyPageTermsAgree =
 
       // 약관 ID를 약관 코드로 변환하기 위해 state에서 termsIdMap 조회
       const termsIdMap = getState().home.termsIdMap || {};
-      const idToCodeMap = Object.entries(termsIdMap).reduce((acc, [code, id]) => {
-        acc[id] = code;
-        return acc;
-      }, {});
+      const idToCodeMap = Object.entries(termsIdMap).reduce(
+        (acc, [code, id]) => {
+          acc[id] = code;
+          return acc;
+        },
+        {}
+      );
 
       // 동의한 약관 ID 목록을 약관 코드로 변환
       const agreedTermCodes = termsList
-        .map(id => idToCodeMap[id])
+        .map((id) => idToCodeMap[id])
         .filter(Boolean);
 
       dispatch({