ICOT CORK - Refund Request Form
*Please note that the refund will be done when school is back face to face again
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Student Name *
Student ID *
Student Address *
Phone *
Email *
Requests refund for *
Total amount paid for the service requested *
What's the name of your agent ? *
Who did you buy your course from ?
When did you make your payment to ICOT College? *
MM
/
DD
/
YYYY
Have you got your Insurances already ? *
Governamental Insurance that ICOT provides
What is the reason you are asking for refund ? *
Have you got your GNIB already ? *
Did you go to immigration and collected your GNIB ?
If you didn't get it - Did you get your GNIB Denied ?
Was your GNIB refused ?
Clear selection
If you get your GNIB refused, could you please send an email with the immigration letter copy and copy of all your passport pages to the address below
Clear selection
Receiver's Name *
Responsible for the acount who is getting the money
Receiver's Address *
Personal address of the person who is responsible for the account
Receiver's Account Number *
Receiver's IBAN number *
Receiver's Bank SWIFT Address / BIC *
Receiver's Bank Name *
Receiver's Bank Address *
City, State, Country
Receiver's Bank Code *
Other Comments *
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