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GENERAL GUIDANCE

This form should only be completed by students wishing to request a tuition fee refund or reduction in tuitionfee liability in cases where unforeseen and exceptional circumstances prevented them from studying.

It should not be used to request tuition fee refunds or reduction in tuition fee liability in the following instances:

Overpayment: Contact Accounts Receivable Team directly email!yCampus"fees#glasgow.ac.u$

%quote your &'I( in your e"mail)

SLC/SAAS funding / private sponsorsip !onfirmed after payment made: Contact Accounts

Receivable Team directly emailMyCampus-fees@glasgow.ac.uk %quote your &'I( in your e"mail)

Requests for tuition fee refunds and*or reductions in tuition fee liability can ta$e up to si" #ee$s to be

processed and possibly longer during pea$ periods. +ollowing submission of your request you should notpursue the progress of your request within this period unless you have further evidence to submit. Any othercorrespondence will slow the process.

INS% RUC% IO NS

All sections must be completed in full. If any sections have not been completed your request will not be

considered.

The form must be completed by the student concerned. ,e will not accept forms completed by a third party.

-efore filling in this form it is essential that you read the Refund /olicy0 which can be downloaded from

http:**www.gla.ac.u$*scholarships*fees*refund*

(etails of where to submit completed applications can be found on page 1 of this form.

Staff Use On&y:

Date re!eived ''''''''( )orm !omp&ete *es No A!$no#&edged '''''''(

Tuition fee refund application (revised 21/!/212" #age 1 of $

Se!tion +: ,ersona& Detai&s

&'I( 2umber:

+amily name:

&iven name:

Current contact address:

%including postcode)

Contact e"mail:

* Please ensure this email address is correct and up to date, as the majority of correspondence will be sentvia email.

%uition )ee Refund and Lia-i&ityRedu!tion App&i!ation )orm

mailto:MyCampus-fees@glasgow.ac.ukmailto:MyCampus-fees@glasgow.ac.ukmailto:MyCampus-fees@glasgow.ac.uk

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Tuition fee refund application (revised 21/!/212" #age 2 of $

Se!tion .: A-out *our Course

.(+ Course Detai&s:

Academic year to which requestrelates %e.g. 3455*53):

2ame of course:

.(. itdra#a&:

6ave you formally withdrawn from your course7 8es 2o

App&i!ations #i&& on&y -e !onsidered #ere forma& #itdra#a& pro!edures ave -een !omp&eted(

Se!tion 0: Detai&s of your re1uest

0(+ Reason for Re1uest:,&ease note tat a!ademi! fai&ure or fai&ure to re!eive funding from a sponsor or a student &oan orgrant is not !onsidered to -e an e"!eptiona& !ir!umstan!e2 as ea! student a!!epts fu&& &ia-i&ity forte !ourse fees at registration( %uition fee redu!tion re1uests #i&& not -e !onsidered in teseinstan!es(

3edi!a&9vidence required: !edical Certificate or letter from doctor*medical professional

4ereavement9vidence required: (eath certificate plus evidence of your relationship to the deceased

Student 5isa Refusa&9vidence required: Copy of letter from '-A confirming visa refusal

Oter/lease provide brief details and supporting evidence.

0(. Supporting Eviden!e:

9vidence attached to form7 8es 2o%/lease only submit copies as original documents cannot be returned)

/lease provide details of evidence attached:

RE6UES%S )OR %UI%ION )EE RE)UNDS AND REDUC%IONS IN LIA4ILI%* ILL NO% 4ECONSIDERED UNLESS SU,,OR%ING E5IDENCE IS SU43I%%ED I%7 %7IS )OR3

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Tuition fee refund application (revised 21/!/212" #age % of $

Se!tion 8: ,ersona& Statement

Tuition fee refunds and reductions in tuition fee liability wil l only be considered in cases of unforeseenexceptional circumstances. In the space below please provide a statement detailing the exceptionalcircumstances that preceded your request. I) *OU DO NO% INCLUDE A ,ERSONAL S%A%E3EN%*OUR RE6UES% ILL 4E NO% 4E CONSIDERED

* Additional pages can be attached to this form. Please indicate in the space above if you have done this.

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ere t o su-mi t ti s fo rm

;nce completed this form can be submitted in the following ways:

In person to the

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Incomplete application forms will not be considered and you will need to complete a new form if you wishto apply again.

7ave you !omp&eted a&& se!tions of te app&i!ation form