Secure Bank Details Submission Form

Student Information

Consent for storing submitted data * Yes, I give permission to store and process my data

First Name as per your current tenancy agreement *

Last Name as per your current tenancy agreement *

Room Number as per your current tenancy agreement *

Email Address as per your resident account *

Bank Details

Beneficiary name *

Beneficiary address *

Bank Name *

UK bank account
International bank account

Requested Refund Amount *

Confirmation

I confirm the bank details are correct *

Data Consent

Consent for storing submitted data * Yes, I give permission to store and process my data

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