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University of Debrecen

REQUEST FORM

1. Surname: ALI 2. First name(s): KAMRAN


3. Title : Mr. 4. Nationality: PAKISTANI
5. Phone: +32467882095 6. Email: kamranishfaq2000@gmail.com
7. Program/Year: MSc Engineering Management /Feb intake 2023 8. Neptun code: JSVB54

Request:

Dear Sir/Madam ,

Now I’m Student of Vives University of applied Sciences in Belgium . I want my Block amount payment & all
other dues back because I’m not part of University of Debrecen anymore . Please help me in this case . I have
also attached my documents of university .

Thanks in advance
Regards

Date: 04-03-2024______________ Signature:


FOR OFFICIAL USE ONLY!
Answer:

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