Refund Request
Please fill in the fields below to request a refund.
Student Information
Student Information
First name *
Last name *
Student Address *
Mobile Phone *
Email *
Student Information
Student Information
What's the name of your agent ? *
Total amount paid for the service requested *
Where do you study? *
Select
Cork
Dublin
Refund for
Accomodation
Course
Airport Pickup
have you got your GNIB already ? *
Select
Yes
No
If you get your VISA refused, could you please send an email with the immigration letter copy and copy of all your passport pages to the following address: info@icot.ie *
Select
Yes, i have sent
No, i have not sent
What is the reason you are asking for refund ? *
Receiver Information
Receiver Information
Receiver's Name *
Receiver's Address *
Receiver's Bank Name *
Receiver's Bank Address *
Receiver's Iban *
Receiver's Account Number *
Receiver's Bank SWIFT Address / BIC *
Receiver's Bank Code *
Message Additional Information
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