Refund Request - Refund Request

Student Details

Forename

Surname

Address

Postcode

Email Address

Mobile or Home Telephone Number

Student ID number/Personcode from ID card e.g. S118235

Course Details

Please provide the full name of course that the request relates to. Please also include the course code if available.

Break in learning

If you are requesting a Break in learning I.e. you wish to defer your course for a year, please provide the relevant details here. Please read the explanation here before requesting this: PDF Explanation

Break in Learning Required

Yes No

When do you expect to return to your studies?

Please select the reasons you require this break in learning:

Medical Reason

Family Reasons

Pregnancy

Confidential

Other - Please state

If other, please specify:

Explanation

Please provide a full explanaton of why you are requesting a refund/credit. Please include dates and details of payments made.

Amounts

Please enter the amounts you would like refunded or credited below. Refunds are for money you have paid that you wish returned. Credit Notes are for outstanding balance you wish written off.

Please enter 0 if not applicable.

Refund Amount Requested

Credit Note Amount

Additonal Files

Here you can upload additional documents to support your request.