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  • Application For Reimbursement

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    GUERBOUZ Mohamed
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    Gurbouz Djamel Eddine is applying for a reimbursement of 321 Euros for the cancellation of his enrollment in a Spanish language and culture course. He was unable to obtain a visa, so he is requesting the funds be deposited into his bank account at CREDIT POPULAIRE D’ALGERIE with the provided account details. He is sending the application to the student secretariat at Universidad Internacional Menéndez Pelayo in Madrid, Spain.

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    Application for Reimbursement

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    Gurbouz Djamel Eddine is applying for a reimbursement of 321 Euros for the cancellation of his enrollment in a Spanish language and culture course. He was unable to obtain a visa, so he is requesting the funds be deposited into his bank account at CREDIT POPULAIRE D’ALGERIE with the provided account details. He is sending the application to the student secretariat at Universidad Internacional Menéndez Pelayo in Madrid, Spain.

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    © All Rights Reserved
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    17 views1 page

    Application For Reimbursement

    Uploaded by

    GUERBOUZ Mohamed
    Gurbouz Djamel Eddine is applying for a reimbursement of 321 Euros for the cancellation of his enrollment in a Spanish language and culture course. He was unable to obtain a visa, so he is requesting the funds be deposited into his bank account at CREDIT POPULAIRE D’ALGERIE with the provided account details. He is sending the application to the student secretariat at Universidad Internacional Menéndez Pelayo in Madrid, Spain.

    Copyright:

    © All Rights Reserved
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    APPLICATION FOR REIMBURSEMENT

    Gurbouz Djamel Eddine


    D./Dª

    Identity card number or Passport number: 8100613

    Course:
    Cursos de lengua y cultura españolas

    Specify the motivation for the cancellation of the inscription:


    Problema del visado

    REIMBURSEMENT: 321,00€

    Please indicate the bank information required for the reimbursement deposit:

    Bank: CREDIT POPULAIRE D’ALGERIE

    Account Holder: Guerbouz Djamel Eddine

    Account nº: 4580008763-36

    Swift: CPALDZALXXX

    IBAN Code: 4580008763-36


    CREDT POPULAIRE D’ALGERIE 24,BOULEVARD BOUABDELI
    Bank Address: BOUABDALLAH Tiaret,

    Town/City: Tiaret Country: Algerie

    Date 30/07/2012 Signature: Djamel eddine

    Send this applicaton by post, fax or by e-mail, to the address below:


    Secretaría de Alumnos, Universidad Internacional Menéndez Pelayo, C/ Isaac Peral, nº 23. (28040 – MADRID) - ESPAÑA
    Tlfº +34 91 592 06 44, Fax: +34 91 592 06 40 e-mail: alumnos@uimp.es www.uimp.es

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