Form

First Name

Last Name

Email*

Gender

Mobile Phone Number

Date of Birth*

Year/Month/Day

I am a current student*

Street Address

Country

Postal Code

Please note that a penalty may apply, review Envirotech Educations Refund Policy here.

Reason for refund application:*

I want a refund on:*

Click here to upload your supporting documents*

I would like my refund:*

Deposited into my bank account

Deposited into my agents account (for international students)

Bank Name:

Bank address:

Account holder name:

Account number:

BSB:

SWIFT code:

IBAN Number

This application will be processed and paid within 14 working days of receipt only if I have supplied all relevant documents. This application is assessed according to the Refund Policy which I signed when I agreed to abide by the terms and conditions on the Enrolment application form and upon accepting the offer of my education AND which is available to me through the Envirotech office or the Envirotech website. I waiver any future claims on Envirotech Education.

I have read and agreed with the terms and conditions described above.*