Secure Bank Details Submission Form

First Name as per your current tenancy agreement*

Last Name as per your current tenancy agreement*

Room Number as per your current tenancy agreement*

Canvas Building you live in as per your current tenancy agreement*

Email Address as per your resident account*

Beneficiary name*

Beneficiary address*

Bank Name*

UK bank account

International bank account

Requested Refund Amount*

I confirm the bank details are correct*

Yes, I give permission to store and process my data*

Refund Submission Form