Name: Anita
Family name(s): Smith
Identity document
Type: Passport
Number: Y2369480K
Issuing country: United Kingdom
Postal address: Carrer de Joan Fuster i Ortells, 8, 43007 Tarragona
Further information: +34 693 455 293
I DECLARE:
- I am a student from the University of Sheffield, United Kingdom, currently on an Erasmus programme at the Universitat Rovira i Virgili.
- On 25 September I registered on a Catalan for Beginners course at the Language Service and on the same day paid the full course fee (€225).
- I was subsequently informed that as a mobility student I am entitled to free basic language tuition.
I REQUEST:
A refund of €225.
SUPPORTING DOCUMENTS
- Photocopy of passport
- Photocopy of Erasmus learning agreement
- Photocopy of Language Service registration form
- Photocopy of proof of payment from the bank
[Signature]
Tarragona, 15 October 2014
Language Service
Universitat Rovira i Virgili