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    Refund Form 2021-Digital

    Uploaded by

    gantadai

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Refund Form 2021-Digital

    Uploaded by

    gantadai
    18 views1 page

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    18 views1 page

    Refund Form 2021-Digital

    Uploaded by

    gantadai

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    REFUND FORM

    Students are eligible for refunds of Overpayment of Tuition Fees, Credit on Account and Tuition Deposits in cases of
    Visa/Study Permit denial. This form must be completed and signed by the student. A third party may not apply for a refund
    on the student’s behalf. All payments made by credit card will be returned to the card from which the payment was made.
    Please refer to the ASM refund policy for information on refunds and latest fees at www.Acsenda.com.

    PERSONAL INFORMATION
    Last Name: First Name: Student #:
    Student’s Address:
    Prov /State: Country: Postal Code:
    Phone#: Email:
    Reason for Refund Withdrawal Visa Rejection Overpayment Other:

    REFUND INFORMATION
    Bank details: Wire Transfer Electronic Funds Transfer (CAD accounts only) Flywire

    If you paid by Flywire, please do not fill bank instructions below. Flywire will refund using the same form
    of payment you used to make your deposit.

    Name on Bank Account (Beneficiary):


    Beneficiary Address:
    Prov./State: Country: Postal Code:
    Name of Bank:
    Account Number: Swift Code:
    Does your bank accept Canadian Funds for deposit to your account? (If no, payment in USD) YES NO
    Credit Card Refund details:
    Name of Account holder (as it appears on the card):

    Credit Card number Expiry Date (mm/yy)

    ADDITIONAL INFORMATION
    Authorized refunds for Study Permit/Visa refusals are subject to a $275.00 administrative fee as well as a $155.00 non-refundable application fee.
    Please note our rates are subject to change. Check our website www.acsenda.com for the most up to date fee schedule. Refunds made to credit cards
    are subject to a 2% service charge. The payments made by Flywire will be refunded by Flywire. Refunds will be processed only after ASM received and
    verified all required documents. Refunds will norm ally take up to 30 Business days (6 weeks) to process once all required
    documentation is received.

    Acsenda School of Management (ASM) collects and uses personal information in accordance with applicable provincial and federal privacy legislation.

    Student Signature: Date:

    FOR OFFICE USE ONLY:


    Received by: Admissions Enrollment Services Name: Date:

    Student Enrolment Term: Withdraw term: Visa Refusal: Yes No

    For Visa Rejected, letter of rejection verified: YES NO N/A Verified by:

    Account Balance: Fees withheld: Amount to be refunded: $

    Authorized by President: Date:

    Processed by Accounts: Date:

    ACSENDA Refund Form January 2021 FORMS/Students

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