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ID number*
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Method Of REFUND I want the amount as an advance in my accountI accept to receive the refund in the form of chequeI accept to receive the refund via bank transfer
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Disclaimer The company does not hold any legal responsibility or financial liabilities that may result due to a wrong transfer as a result of the applicant providing inaccurate personal or financial information about his/her bank account.
Notes Your application will be processed within 10-14 working days and you may be requested to be seen by a specialized doctor for medical report
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I hereby declare that I have discontinued my treatement in Maleen Consultant Center of my own free will and I hold all responsibility for my decision. I have no right to claim any material or moral rights for consequences of my decision.
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