Refund Request Form – Rose of York Language School

First Name*

Family Name*

Course / Accommodation Booked Date*

Course / Accommodation Fee Paid*

Date of Payment*

Reason for Refund*

Bank Transfer*

International

Local

Beneficiary's Full Name*

Beneficiary's Address*

Account Number*

Sort/Swift Code

BIC Code

IBAN Number

Bank Name*

Branch Name*

Branch Address*

City / Town*

State / County*

Country*

Applicant Passport*

Max. file size: 5 MB.

Visa Rejection Letter (if applicable)

Max. file size: 5 MB.

Please note:

We will make refunds to the original payment method you used to place your order. Therefore, all refunds will be transferred to the account from which the original payment was made.
Refunds will be processed within a maximum of 90 days.
All bank charges incurred will be covered by the beneficiary

Applicant Signature*

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Copy of original invoice □

Copy of payment receipt □

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Amount to be Refunded*

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Refund recommended by: Name / Signature

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Date

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Refund processed by: Name / Signature

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Date