Refund Request Form
This form should be completed to request a refund of programme or course fees.  There is a two week period for the processing of refunds.  Kindly note the amount that will be due after the specified period.

75% refund after week 4
50% refund after week 5
25% refund after Week 6
No refund after week 7

You will receive a call when the process is completed.
Sign in to Google to save your progress. Learn more
Student ID Number *
First Name *
Last name *
Email Address *
Contact Number *
Programme/Course *
Refund Amount *
Reason for refund *
Declaration
By submitting this request I confirm that all the information is complete and correct and take responsibility for any errors submitted.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Anguilla Community College. Report Abuse
Google Forms