Refund - Discount Request Form | Dorset College Dublin

Refund - Discount Request Form

Please complete the form in order that we can process your request. Please note, refund requests must be approved by senior management. Discounts on students fees are also processed using this form.

Student Details
The student or Agent can fill out this section. The details related to the student application and how the payment was made.
Are you a De Vinci Student?
- Yes
- No
Date
Date Format: MM slash DD slash YYYY
Corresponding Email Address*
Student Name*
Dorset College Student ID*
Course Name*
Details of Money Paid*
Upload a copy of the bank transfer or credit cart receipt*
Drop files here or
Upload a copy of your password*
(*For payments to Pakistan we are asked to provide the account holder’s date of birth and nationality to ensure that the refund is processed quickly please include this document)
Drop files here or
Upload any relevant document such as medical certificates, etc.
Drop files here or
How did you pay the college?*
- Through the website
- Cash
- Bank Transfer
- Credit Card
- Through an Agent
Reason for refund/Discount*
Bank Information for Payment
Please complete this part of the form carefully. The information that is required below is the bank setup and must be completed in full.
Bank Address*
Account Holder Name*
Address of Account Holder*
IBAN Number*
BIC or Swift Code*
Account Number*
Sort Code*
Terms & Conditions*
I have read and agreed to Dorset College Terms & Conditions.

Refund - Discount Request Form

Student Details

Bank Information for Payment