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Visa Refund Form

Please fill out the form below to get a refund of your paid proof of solvency, which was necessary for the Visa application procedure. Please note that we start refunding the money as of 1 October 2012.

We can only refund the money to a Dutch bank account. Make sure to upload a copy of the front side of the bank card (for verification)!

Please note that it takes up to two weeks before the money will be on your bank account!
PERSONAL INFORMATION
Name:
Address:
Place:
Postal code:
Country:
Place of birth:
Date of birth:
Email:
Student number (not for exchange students):
BANK INFORMATION
Bank:
Account number:
Amount (in euro's):
Upload a picture of the front of your Dutch bank card:
ADDITIONAL INFORMATION
Description:
By submitting this form I declare that the given information is complete and correct.

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