REFUND STATEMENT
I, Leonard Ajeni Onoja, Passport number B02058228, Nationality Nigerian,
Course of Study Master in Management and Business Administration, hereby
request for the refund based on the visa refusal due to the following reasons:
[indicate the reasons mentioned in the refusal letter].
Please transfer the amount of 4 850 EUR in the account mentioned below:
Bank Name:
Beneficiary Name:
Account Number:
IBAN number:
SWIFT code:
Bank Address:
Beneficiary Home Address:
I confirm that I will not have any doubts, claims or complains to the university
upon receiving my refund.
Date [date of the signature] Signature