Elite Expo Sdn Bhd
PART A: PERSONAL DETAILS 个人资料
Company Name 公司名称(if available 如有)
Full Name 全名*
Identity Card / Passport Number 身份证号码 / 护照号码*
Contact number 联系电话*
Email 电子邮箱*
PART B: TRANSACTION DETAILS 交易详情
Invoice number 发票编号*
Invoice date 发票日期*
Refund Amount 退款金额(MYR)*
Reason of Refund 退款原因*
Paid by 付款方式* —Please choose an option—Credit CardDebit CardCharge CardE-Wallet (Boost, Grabpay, MaybankQR, TouchNGo, ShopeePayFPX
PART C: REFUND METHOD 退款方式 Bank Transfer 银行转账
Bank Name 银行名称
Account Name 账户名称
Account Number 账户号码
Additional information 附加信息(For non-Malaysia bank account 适用于非马来西亚银行账户)
Passport Number / Business Registration Number 护照号码 / 公司注册号码
Swift Code / IBAN Number SWIFT代码 / IBAN号码
Country 国家 —Please choose an option—AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCentral African RepublicChadChileChinaColombiaComorosCongo (Congo-Brazzaville)Costa RicaCroatiaCubaCyprusCzechia (Czech Republic)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (fmr. Swaziland)EthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar (Burma)NamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth KoreaNorth MacedoniaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe
Bank Address 银行地址
I acknowledge and accept the risks associated with the transfer and authorize IBE to process the refund to the account specified above. 我确认并接受与该转账相关的风险,并授权 MIJF 将退款处理至上述指定账户。