Refund Request Form Refund Request. Candidate DetailsFirst Name Surname Contact Number Course Attended - Select -Working At HeightsConfined Space EntryForkliftConstruction White Card Elevated Work PlatformPayment DetailsPayment Self funded Employment Agency Funded Other Company fundedCompany name If Other please specify... Amount Paid Date of payment How was the original amount paid? Cash/EFT Cheque Visa/Mastercard OtherIf other please specify... How would you like Access Training to refund you? Cash Cheque Visa/Mastercard EFT (Electronic Funds Transfer) OtherIf Other please specify... If EFT please provide your banking details (Bank Name, BSB Number, Account Number) CEO’s Signature Date Submit Form
