Refund Submission

Read before Submit!

To submit a Check Refund Form, you must first complete this order, which must be uploaded to the designated location.

!! If the refund order is not completed, the refund form will not be considered. !!

Augšuplādē rīkojumu šeit

Atceries rīkojumu parakstīt izmantojot drošu elektronisko parakstu, kā eparaksts.lv; Dokoboit.com, ja tas netiks izdarīts, dokuments netiks ņemts vērā
One file only.
10 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

Personal Info

Type of organisation

Project or organisation Name

Within of which project or group were these payments made?

*Societies have to provide the abbreviation (For ex. DSIA, ASIR, etc.)
** Studentu zinātniskajiem pulciņiem jānorāda Pulciņa nosaukums

Student ID

Name Surname

Payment Info

Payment document section

Re-order	Dokumenta numurs/Document Number	Type of Service or Product	Purchase Justification	Amount Paid	Weight	Operations
	Dokumenta numurs/Document Number	Type of Service or Product	Purchase Justification	Amount Paid	Item weight

more items

Total Amount Spent

Total Amount of money you want to get refunded, EUR

Payment Documents

Unlimited number of files can be uploaded to this field.
10 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

Receiver Information

IBAN Number

SWIFT Code

Date when Submitted

Confirmation

I certify that all information provided is true and agree that if any incorrect information is provided, the submitted form will not be considered.

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.