Instrumental Music Tuition Refund

This form should be completed by parents/carers who have received an email advising them of an entitlement to a refund of overpaid Instrumental Music Tuition fees.

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Application
1. Parent/Carer Details
2. Forename*
3. Surname*
4. Email*
5. Phone Number*
6. Your address
  1. Your Address
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  4. Your Address
    
    OSG Postcode Search (Custom drop-down list)
    
    Postcode
    
    Address
8. Child’s Details
9. Child 1
  1. Forename*
  2. Surname*
  3. School*
  4. Year Stage*
11. Child 2
  1. Forename
  2. Surname
  3. School
  4. Year Stage
12. Child 3
  1. Forename
  2. Surname
  3. School
  4. Year Stage
13. Child 4
  1. Forename
  2. Surname
  3. School
  4. Year Stage
14. Bank Details
  
  Please provide details below of the Bank Account the refund should be paid to. For verification we require you to upload a copy of your bank statement confirming your name, address, sort code and account number (Where possible please remove any balance or transaction details). A photograph of your bank statement or a screenshot from online banking can be used.
15. Name of Bank / Building Society *
16. Sort Code (6 digits)*
17. Account Number (8 digits)*
18. Roll Number (For building Society Accounts only)
19. Upload a copy of your bank statement (please see above)*
20. Declaration
  
  I confirm that, to the best of my knowledge, the above information is accurate and correct. I understand that any supporting evidence will not be returned.
21. Please tick to confirm

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Instrumental Music Tuition Refund

Parent/Carer Details

Your Address

Child’s Details

Bank Details

Declaration