Refund of Claims/Over Deduction

Select passport photograph file to attach (must be between 6kb and 5MB file size):
Other Names:  
Ministry/Agency/Office Address:  
Oracle/Staff No:  
Membership Number:   Enter 0 if not a member
Account Balance:  
Purpose of Refund:  
Type of Asset Procured:  
Period of Procurement:  
Amount Deducted:  
Refundable Amount/Claim:  
Period of Claim:  
Account Number:  
Sort Code:  
E-mail Address:  
Phone Numbers:  

Upload Scanned Copy of Last Pay Slip/Valid Means of Identification:

must be in jpeg or pdf format and not more than 400kb in size
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