BLUE LOTUS COLLEGE

BLUE LOTUS COLLEGE

Student Refund Application Form
- Student ID
- Name
  
  Given NameSurname Name
- Passport Number
- Course Enrolled
- Address
- State
- Country
- Post Code
- Email
  example@example.com
- Phone Number
  Format: (000) 000-0000.
- Mobile
  Format: (000) 000-0000.
- Refund reason
  
  Other
- Select one of the refund process.
- Name of Bank
- Account Name
- Select Currency
- Branch
- City
- Province/State
- Country
- BSB/SWIFT
- Account Number
- Beneficiary's name
- Select Currency
- Please read all the declarations before you sign the declaration
- By signing this declaration, I affirm my commitment to providing accurate and up-to-date bank details and complying with all Blue Lotus College policies and procedures regarding financial transactions.
- Student's Signature
- Date
  
  DayMonthYear
  Date
- RTO CODE: 45392 I CRICOS CODE: 03790G
- Should be Empty: