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? *
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
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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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