Examination cancellation by contact person

Contact details of the contact person

Family name:*

First name:*

Street and house number:*

Postal code:*

City:*

Country:*

Email address:*

Repeat Email address:*

Phone number:*

Fax number:

I have the participant's permission to act as his/her contact person and communicate with Sprachenakademie Aachen on his/her behalf.*

Please upload a scan of the participant's current photo ID.

Please use file formats JPG, PNG or PDF. The limit is 5MB.

Contact details of the participant

Family name:*

First name:*

Date of birth:*

City of birth:*

Country of birth:*

Street and house number:*

Postal code:*

City:*

Country:*

Email address:*

Repeat email address:*

Phone number:*

Fax number:

About the booking

Which exam does the participant wish to cancel? *

Examination number: *

Examination date - if the exam is scheduled for two days, please pick the first of these days:*

Please state the reason why the participant is unable to join the exam.

Would you prefer a refund of the examination fees or do you want to pick another examination date instead?*

A rebooking will incur a processing fee which is equal to the registration fee applicable to the exam in question.

Please insert the exam number of the exam you would like to book instead.*

Bank details

Please enter the bank details of the account that any refundable fees should be transferred to.

Information on the account holder

Account holder:*

Street and house number:*

Postal code:*

City:*

Country:*

Information on the bank

IBAN:

Account number:*

BIC/SWIFT:*

Name of the bank:*

Street and house number:*

Postal code:*

City:*

Country:*

I acknowledge that by submitting this form, I agree to abandon the claim to a place in the exam in question.*

The personal data provided in this form, especially names, addresses and dates of birth, are being collected solely for the purpose of handling your request. They will be processed by Sprachenakademie Aachen gGmbH in accordance with the data protection regulations. Detailed information on data protection as well as on your right of revocation can be found here.

I agree that the personal data entered in this form may be stored and processed for the purpose of handling my request.*

* = Obligatory field

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