Refund of Reservation Fee and Key Deposit

Full Name:


Student Number:


Date:


Dormitory:


Reservation Fee OR#: Dated: OR# sample


Key Deposit OR#: Dated:


*If the key was lost, submit Release of Key Form.

Date of Release Key Deposit Form:


Note: The processing of refund is minimum of 3 months after submission of this form to the UHO Main Office.

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