REFUND REQUEST FORM

Lawsentis Immigration Services

Refund request form

Important notice:
This form is mandatory for all refund requests. Submission does not guarantee a refund. Refunds are assessed strictly in accordance with the firm’s Terms & Conditions, engagement letter, and work already carried out.

Section 1 – Client identification

1. Full legal name (as per passport) *

2. Date of birth *

3. Nationality *

4. Passport number *

5. Email address *

6. Contact telephone number *

Section 2 – Service details

7. Type of service instructed (tick all that apply):

Visa adviceFull application preparationEndorsement / assessment supportConsultation onlyOther (please specify)

Specify 'Other' service (if applicable):

8. Immigration route discussed or instructed

9. Date of initial instruction / engagement

Section 3 – Payment information

10. Total amount paid (£) *

11. Date(s) of payment

12. Payment method used:

Bank transferCardOther

Section 4 – Status of work completed

13. Which of the following had already been carried out by the firm? (tick all that apply):

Initial consultationEligibility assessmentStrategy adviceDocument checklist issuedDrafting of representationsBusiness plan / endorsement preparationApplication form preparationSubmission supportLiaison with third partiesOther (please specify)

14. Did you respond to the firm’s communications in a timely manner? *

YesNo (please explain)

Section 5 – Reason for refund request

15. Primary reason for requesting a refund (select one): *

Change of personal circumstancesDecided not to proceed with applicationIneligibility identifiedDelay or non-progress caused by clientDissatisfaction with serviceOther (please specify)

16. Please explain your reasons in detail (facts only): *

Section 6 – Client responsibility & disclosure

17. Did you provide all information requested accurately and honestly? *

YesNo (please explain)

18. Did you withhold, delay, or later disclose information? *

YesNo

19. Were you advised of risks, limitations, or uncertainties? *

YesNo

20. Do you acknowledge that immigration outcomes cannot be guaranteed? *

YesNo

Section 7 – Bank details for refund (UK only)

If a refund is approved, payment will be made by UK bank transfer only.

21. Account holder name *

22. Bank name *

23. Sort code *

24. Account number *

25. Confirmation that the account is in your name: *

YesNo (refund cannot be processed)

Section 8 – Declaration

21. I confirm that all information provided is true and accurate. I understand that false information may result in rejection. That refund will be assessed within 30 days

Date: *

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