MIVA Refund Form – Elite Expo Sdn Bhd

REFUND FORM

PART 1: PERSONAL DETAILS

Company Name (if available)

Full Name*

Identity Card / Passport Number*

Contact number*

Email*

PART B: TRANSACTION DETAILS

Invoice number*

Invoice date*

Refund Amount (MYR)*

Reason of Refund*

Paid by*

PART C: REFUND METHOD
Bank Transfer

Bank Name

Account Name

Account Number

Additional information (For non-Malaysia bank account)

Passport Number / Business Registration Number

Swift Code / IBAN Number

Country

Bank Address

I acknowledge and accept the risks associated with the transfer and authorize MIVA to process the refund to the account specified above.