International Student Refund Request

Personal Details:
Name:*
First Last
Address:*
Please fill in with the following information: house number/name, street, Town/City, State/Province/Region. Zip/Post Code and Country
University of Northampton Student Number:*
Name of Course The Refund Relates To:*
Academic Year: (e.g. 22/23)*
Intake The Refund Relates To:*
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
BIC/Swift Code:
Account number:
IBAN No:
Hidden
Date:*
DD slash MM slash YYYY
Please upload a copy of your fee receipt, if you pay by third party then proof of transfer e.g. bank statement and (if applicable) your UKVI visa refusal letter. We cannot process refund requests without these.*
Drop files here or

Accepted file types: pdf, jpeg, jpg, Max. file size: 10 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

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