Hemanth GBS Refund Form

Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

Refund Form

First name: SANGAMA HEMANTH CHANDRAHASA


Student’s Details
Last name: AREMANDA
Student ID number: DG180221
Agent’s name (if applicable): career2life(OPC) PRIVATE LIMITED

Bank Name: STATE BANK OF INDIA


Bank Details
Bank Address: STATE BANK OF INDIA, CHEBROLE
Name of account holder: AREMANDA GOPALAKRISHNA
Swift/ Sort Code: SBININBB181 Account no.: 11617769066
IBAN code (non-UK banks): _______________________________________

Amount to refund: 3500 Euros towardsTution fee, 956.82 euros towards


Refund Request
Insurance and Accomodation---Total = 4456.62 Euros
Currency of bank account: INDIAN RUPEES (INR)
Reason for Refund: Withdrwal of Application
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________

IMPORTANT:
Refund form should be typed not handwritten
€200 administration fee will be deducted from the paid amount
In case of visa refusal, a copy of the visa refusal letter should be attached to the form
This form and any additional documentation should be returned to us in pdf format
The refund process might take up to 30 working days.

Registered Address Contact Information Payment Details


M. Mangion Allen Lofaro A/C Name GBS HE Malta Ltd
West Block Level 5/6 San Giljan Phone: +356 277 800 95 Account No. HBMT 026-354118-001
Malta, STJ 3180 [email protected] IBAN MT06MMEB44266000000026354118001
Bic/Swift MMEB MTMT
Address HSBC Bank Malta Plc, 116 Archbishop
Street, Valletta. VLT 14444, Malta

You might also like