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.
Hidden
Are you a De Vinci Student?
- Yes
- No
Hidden
Date
DD slash MM slash YYYY
Dorset College Student ID*
Student Name*
Corresponding Email Address*
Course Name*
Details of Money Paid*
Upload a copy of the bank transfer or credit card receipt*
Drop files here or

Max. file size: 300 MB.
Upload a copy of your passport/ ID*
(*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

Max. file size: 300 MB.
Reason for refund/Discount*
Upload relevant document for supporting your refund reason
Example: If visa-related - please upload visa letter refusal; if medical-related - please upload your medical certificate, etc.
Drop files here or

Max. file size: 300 MB.
How did you pay the college?*
- College Website
- Bank Transfer
- Credit Card
- Via Agent
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