International Commercial Refund Request

Customer Details:
Business Name*
Address:*
Please fill in with the following information: house number/name, street, Town/City, State/Province/Region. Zip/Post Code and Country
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Address
University of Northampton Customer Number:*
Email Address*
Enter Email Confirm Email

Bank details:
Reason for refund:*
Please refund £*
Please enter a number greater than or equal to 0.
to the following account:
PLEASE ENSURE THE ACCOUNT HOLDERS DETAILS ARE CORRECT, ENSURING THE PAYEE NAME EXACTLY MATCHES DETAILS HELD BY YOUR BANK, OTHERWISE THE BANK WILL REJECT THE PAYMENT
Name of Account Holder:
Account Holder Address:
Please fill in with the following information: house number/name, street, Town/City, State/Province/Region. Zip/Post Code and Country
Bank name:*
Bank Address:*
Please fill in with the following information: house number/name, street, Town/City, State/Province/Region. Zip/Post Code and Country
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Bank Address:
BIC/Swift Code:
Account number:
IBAN No:
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Date:*
DD slash MM slash YYYY
Please upload a copy of your fee receipt, if you’ve paid by third party then proof of transfer e.g. bank statement. If you asking for Refund because you are cancelling student’s sponsorship please attach a letter on a letterhead confirming this. We cannot process refund requests without these.*
Drop files here or

Accepted file types: pdf, jpeg, jpg, Max. file size: 12 MB, Max. files: 4.
Tick to give your consent:*
I confirm that the details submitted are accurate and correct and consent to the University of Northampton using the information provided for the purpose of this refund.
- Agree

Submit Form:

Please click the submit button to complete this form and submit your request.

Please Note: Refunds may take 4 to 6 weeks to process.
Comments
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