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Upgrad Refund Form

The Tuition Fee Refund Form is for students requesting a refund, which is not guaranteed. Akarshi Chandra, a student of the O P Jindal LLM in Corporate and Financial Law, is applying for a refund due to a better opportunity, requesting a total of 25,000. The form includes personal details, bank information for the refund, and a declaration of the accuracy of the provided information.

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akarshi chandra
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95 views1 page

Upgrad Refund Form

The Tuition Fee Refund Form is for students requesting a refund, which is not guaranteed. Akarshi Chandra, a student of the O P Jindal LLM in Corporate and Financial Law, is applying for a refund due to a better opportunity, requesting a total of 25,000. The form includes personal details, bank information for the refund, and a declaration of the accuracy of the provided information.

Uploaded by

akarshi chandra
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Tuition Fee Refund Form

This form is designed for specific student refund requests and does not guarantee a refund.
Please only fill your details in the form and attach a scanned copy of a cancelled cheque with this form.

A) PERSONAL PARTICULARS
Student Name in Full*: Akarshi chandra Applicant ID*: 002484
Name of Programme*: O P Jindal LLM in Corporate and Financial Law- Date of Birth: Not available
in
Start Date of Programme*: Telephone no*: +919810313343
Email address: [email protected]

B) DETAILED REASON(S) FOR REFUND REQUEST*


Better opportunity

C) REFUND DETAILS
Total Amount Paid by Student*: 25000.0
Loan Details: (if any loan taken, appropriate refund will be provided to the loan provider)
N/A

Bank Details for Refund to the Student:


Name and Address of bank*: Paytm payments bank , B-121, sector-5, noida-201301
Account No*: 919958090491
IFSC Code*: PYTM0123456
Account Holder Name*: AKARSHI CHANDRA

If account holder name is different from the Student’s full name then please provide the student’s relationship with the account holder
and reason for the difference: ___________________________________________
* Mandatory Field
** I note that all bank charges will be borne by the beneficiary.
I wish to apply herewith for the refundable portion of the paid tuition fee. I confirm herewith that the information given in this document is true
and correct. The refundable portion will settle all past and present claims that I have against the University/Institution or upGrad including the
loan closure. Furthermore, I waive all rights to any and all actions and claims, whether civil or criminal, in law or at equity, against the University/
Institution or upGrad and declare that the University/Institution and upGrad do not owe me any amounts hereafter, under any cause of action, suit,
contract, controversy, agreements, promises, claims, demands or otherwise. I shall maintain the terms of this refund and related communication
confidential and shall not disclose the same to any third party. I also confirm that I have read and I am aware of the refund/cancellation policy.

_________________________ _________________________

Signature Date

FOR OFFICIAL USE ONLY Processed by:

________________________________
First date of notice of withdrawal: ____________________________________
Academic Services Department
Amount refundable: ________________________________________________
Approved by:
Comment: ________________________________________________________
________________________________
Director

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