Refund for Tuition Fee Refund

And authorization for third party refund

FORM R
PLEASE USE CAPITAL LETTERS

REFUND ELIGIBILITY

If the Canadian Embassy or Canadian High Commission refused your visa application, you must
submit a clear copy of the refusal letter (attach to this form). A full refund minus a $750.00 refund
fees and $250.00 disbursement fees will be issued.
Please attach the letter of visa refusal to this
If you are withdrawing from the College for any form. Refund requests can be sent to MLC
reason other than visa rejection, an administrative College by email to: admissions@mlccollege.com
fee of $1250 will be deducted from semester 1 (as a pdf attachment) and to your admission
fees only. Second semester that you paid in counsellor.
advance will be fully refunded.

Your refund will take approximately six weeks.

You must attach a copy of your passport with this form for your request to be processed
Student Information.

Name : ADENIRAN OYEFEMI LYDIA

MLC Student ID : MLC23100700

Phone : +2348034471090

Email : adeniranfemi@gamil.com

16B OLUMUYIWA STREET OMOLE PHASE 1 ESTATE OJODU BERGER

Mailing Address :
LAGOS STATE

Fees paid : (attach copy) CAD 5000

Reason for withdrawal : VISA REFUSAL

Student Signature : Date : 04/11/23

*If a decision on your Visa application has not been reached in time for you to attend, it is your responsibility to
submit a Request for Tuition Fee Refund Form (Form R), or a Request to Defer Admissions if eligible. These forms must
be received by the International Admissions office before making a decision to refund.

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 Refund for Tuition Fee Refund
And authorization for third party refund

FORM R

Return Authorization – Please Send my refund to:

Name: ADENIRAN ADESOJI OLAWALE

Address: 16B OLUMUYIWA STREET OMOLE PHASE I OJODU BERGER
LAGOS STATE
Phone: +2348077306343

Relationship to student: HUSBAND

By signing here below I authorize MLC College to release my refund to the person named above.
Refund Method ( Please specify ):
Cheque in Canadian Dollars

Funds credited to credit card from which tuition was paid

Wire transfer - You must also submit FULL WIRE TRANSFER DETAILS for Refund
BANK DETAILS: Branch Code, Bank Code, Account Number, Routing Number and SWIFT ID must
be supplied by the applicant.
BANK NAME :
G U A R A N T Y T R U S T B A N K
SWIFT CODE :
G T B I N G L A
BANK ACCOUNT NO:
0 5 5 2 6 7 0 2 5 3
BANK ADDRESS:
35 S H A S H A R O A D A K O W O N J O
L A G O S
N I G E R I A

C I T Y L A G O S
C O U N T R Y N I G E R I A
BENEFICIERY’S NAME/ACCOUNT HOLDER NAME :
(MUST BE PERSON RECEIVING THE PAYMENT ON THE ACCOUNT AS PER AUTHORIZATION ABOVE):
A D E N I R A N A D E S O J I O
PERMANENT HOME ADDRESS (AS IN BANK ACCOUNT):
9 0 A A G O R O S T R E E T O M O L E
P H A S E O N E O J O D U B E R G E R

C I T Y L A G O S
C O U N T R Y R A
N I G E I

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 Refund for Tuition Fee Refund
And authorization for third party refund

FORM R
All wire transfer charges will be deducted from the amount due as per bank regulations. It is the
responsibility of the student to check with their bankers and mention the details required for money
transfer (even though not specified in this form). MLC College is not responsible for any errors in details
provided above and money once remitted cannot be retracted. By signing this refund form you willingly
and unequivocally indemnify MLC College from any such liability.

Student Signature : Date : 08/11/23

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 Refund for Tuition Fee Refund
And authorization for third party refund

FORM R

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