TUITION FEE REFUND FORM

o Student full name: Adig Cenclaire Fon

o Academic program: MBA in Supply Chain Management
o Total fee paid (optional):Euros 5371
Name Of Bank Union Bank of Cameroon
Address Of Bank P.O Box 15569 Akwa Douala
Swift Code UCMACMCX
IBAN CM21 10023 00010 00100017213 22
Account Number 00100017213
Beneficiary Adig Cenclaire Fon
Personal complete address Cameroon Bamenda Wangla Street
Ngomgham Cenclaireadig@gmail.com
ID or Passport of the account holder ID No. 000696805

*If the payment was not made from your own account, this form must be sent back together with a letter
authorizing BEBS to make the refund to your sponsor. In this case, the information in the above table must
be your sponsor information and the photocopy of his passport must be attached to the email.

*The refund will be processed within 30 days after complete information and documentation is received.

Place and date: Bamenda, /24/10/2022