Refund request

Student names*
First Last
Grade*
Parent/Guardian's names
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Home telephone
Work Telephone
Cell No:*
Reasons for the refund*
Refund Method
EFT (ELECTRONIC REFUND) Please complete all Bank Account fields below
Branch Code
Bank Name
Account Number:
Account Holder
Tyoe of acoount
Attachments
Proof of Payment*
Max. file size: 256 MB.
Confirmation of banking details with an official bank stamp (natural person/ company) id copy of a natural person / third party.*
Max. file size: 256 MB.
For a Company/ Sponsor refund, Letter from a sponsor authorizing a refund.
Max. file size: 256 MB.
Consent*
Acknowledgement
By ticking the box i acknowledge the above information to be true and accurate.
Date*
DD slash MM slash YYYY

Refund Method