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Refund Request
Surname of Passenger
Last Name (Surname)
Field is required!
Field is required!
First Name of Passenger
First Name
Field is required!
Field is required!
Flight Booking Reference
Booking Reference
Field is required!
Field is required!
Email of Passenger
E-mail Address
Field is required!
Field is required!
Phone Number
Please enter a valid Phone Number
Please enter a valid Phone Number
How did you pay for your ticket?
Cash
Debit/Credit Card
Mobile Money
Bank Transfer
Field is required!
Field is required!
How should we pay you?
Cash Cheque
Debit/Credit Card
Mobile Money
Bank Transfer
Field is required!
Field is required!
Preferred Currency?
GHS
USD
NGN
Field is required!
Field is required!
[{"field":"{how_to_pay}","logic":"equal","value":"debit_card_refund","and_method":"","field_and":"","logic_and":"","value_and":""}]
Mobile Network
MTN
Vodafone
Airtel/Tigo
Field is required!
Field is required!
Mobile Money Number
^[0-9]{10}$
Please enter a valid Phone Number
Please enter a valid Phone Number
[{"field":"{how_to_pay}","logic":"equal","value":"mobile_money_refund","and_method":"","field_and":"","logic_and":"","value_and":""}]
Name on Account
Field is required!
Field is required!
[{"field":"{how_to_pay}","logic":"equal","value":"bank_transfer_refund","and_method":"or","field_and":"{preferred_currency}","logic_and":"equal","value_and":"ngn"}]
Name of Bank
Field is required!
Field is required!
[{"field":"{how_to_pay}","logic":"equal","value":"bank_transfer_refund","and_method":"or","field_and":"{preferred_currency}","logic_and":"equal","value_and":"ngn"}]
Bank Account Number
Field is required!
Field is required!
[{"field":"{how_to_pay}","logic":"equal","value":"bank_transfer_refund","and_method":"or","field_and":"{preferred_currency}","logic_and":"equal","value_and":"ngn"}]
Bank Branch
Field is required!
Field is required!
- Country Where Account Is Held -
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia (Plurinational State of)
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Croatia
Cuba
Cyprus
Czechia
Côte d\\\'Ivoire
Democratic People\\\'s Republic of Korea
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Faroe Islands
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People\\\'s Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia (Federated States of)
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Niue
North Macedonia
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Republic of Korea
Republic of Moldova
Romania
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Sweden
Switzerland
Syrian Arab Republic
Tajikistan
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United Republic of Tanzania
United States of America
Uruguay
Uzbekistan
Vanuatu
Venezuela (Bolivarian Republic of)
Viet Nam
Yemen
Zambia
Zimbabwe
- Country Where Account Is Held -
Field is required!
Field is required!
[{"field":"{how_to_pay}","logic":"equal","value":"bank_transfer_refund","and_method":"or","field_and":"{preferred_currency}","logic_and":"equal","value_and":"ngn"}]
Please note: Refund will be made to the card used for payment. Naira Card currency will be paid via bank transfer only.
[{"field":"{how_to_pay}","logic":"equal","value":"debit_card_refund","and_method":"","field_and":"","logic_and":"","value_and":""}]
Refund request due to flight cancellation?
Yes
No
Field is required!
Field is required!
Upload a Government Issued ID of passenger:
Upload a government issued ID of passenger. File size should not be more than 5MB.
Attach a Government Issued ID of passenger:
Upload a government issued ID. File size should not be more than 5MB.
Upload a government issued ID. File size should not be more than 5MB.
By submitting this form, I authorise a refund of my ticket.
Please confirm your authorisation of refund.
Please confirm your authorisation of refund.
Additional Information
Please enter any additional information here.
Field is required!
Field is required!
Office Use Only
Amount Paid
Field is required!
Field is required!
Penalty Applied
Field is required!
Field is required!
Penalty Waived
Yes
No
Field is required!
Field is required!
Amount Approved
Field is required!
Field is required!
Checked By
Name
Field is required!
Field is required!
Date
Field is required!
Field is required!
Signature
Field is required!
Field is required!
Commercial
Name
Field is required!
Field is required!
Signature
Field is required!
Field is required!
Date
Field is required!
Field is required!
Finance
Name
Field is required!
Field is required!
Signature
Field is required!
Field is required!
Date
Field is required!
Field is required!
Paid by
Name
Field is required!
Field is required!
Signature
Field is required!
Field is required!
Date
Field is required!
Field is required!
Submit
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