EDUTECH LANKA

CONSULTANCY (PVT) LTD

Your Satisfaction is Our Success

REFUNDING FORM

You are kindly requested to complete your name, passport number and
bank details in the space provided and sign this form.

Because we are refunding you Rs 50,000/= (Fifty thousand rupees only)

as per the agreement as your visa has been rejected.

Name

Passport
Number
Bank Details
Name as mentioned in your bank
account
Account Number
Bank Name
Branch
Contact number

……………………………………… ………………………………………
DATE SIGNATURE

……………………………………………
MANAGER

Edutech Lanka Consultancy (pvt) Ltd,135/1/4,10,11,Kotugodella Street,Kandy

Hotline: +94 76 725 1216 / +94 763 786 289
E-mail:edutechlanka@gmail.com