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10 Barley Mow Passage, London, England, W4 4PH
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REFUND REQUEST FORM
Book a Free WhatsApp Call
Full Name *
Phone Number *
Email Address *
Your Message
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 firmβs Terms & Conditions, engagement letter, and work already carried out.
Section 1 β 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 β Service details
7. Type of service instructed (tick all that apply):
Visa advice
Full application preparation
Endorsement / assessment support
Consultation only
Other (please specify)
Specify 'Other' service (if applicable):
8. Immigration route discussed or instructed
9. Date of initial instruction / engagement
Section 3 β Payment information
10. Total amount paid (Β£) *
11. Date(s) of payment
12. Payment method used:
Bank transfer
Card
Other
Section 4 β Status of work completed
13. Which of the following had already been carried out by the firm? (tick all that apply):
Initial consultation
Eligibility assessment
Strategy advice
Document checklist issued
Drafting of representations
Business plan / endorsement preparation
Application form preparation
Submission support
Liaison with third parties
Other (please specify)
14. Did you respond to the firmβs communications in a timely manner? *
Yes
No (please explain)
Section 5 β Reason for refund request
15. Primary reason for requesting a refund (select one): *
Change of personal circumstances
Decided not to proceed with application
Ineligibility identified
Delay or non-progress caused by client
Dissatisfaction with service
Other (please specify)
16. Please explain your reasons in detail (facts only): *
Section 6 β Client responsibility & disclosure
17. Did you provide all information requested accurately and honestly? *
Yes
No (please explain)
18. Did you withhold, delay, or later disclose information? *
Yes
No
19. Were you advised of risks, limitations, or uncertainties? *
Yes
No
20. Do you acknowledge that immigration outcomes cannot be guaranteed? *
Yes
No
Section 7 β 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: *
Yes
No (refund cannot be processed)
Section 8 β 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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