Application for Reimbursement of the Tuition Fee

All fields in this form are mandatory

• Personal information

• First name
• Last name
• Date of birth
  Write in the following format: YYYYMMDD####
• Email
• Application number
  Found on the application page in your user account at: universityadmissions.se
• Study programme or course
• Reference number
  Found on your payment request in Ladok
• Address
  Your home address

• Reasons for applying

• Select a reason for applying for a refund
  Denied residence permit

  Residence permit for other reasons than studies

  Medical reasons

  Study leave

  Other
• Briefly explain your reason
• Do you have documentation to support your reasons?
  No

  Yes
• Please upload your documentation
  Bläddra...

  
  The following file types are allowed for upload: csv, doc, docm, docx, eml, gif, htm, html, jpeg, jpg, m4a, mp3, msg, odt, pdf, png, ppt, pptx, rtf, tif, tiff, txt, wav, xls, xlsm, xlsx
  
  • ()

• Banking information

• Name of your bank
• Address of your bank
• Name of account holder
  Must be the same account holder who paid the tution fee
• Account number
• SWIFT
• IBAN
• I agree that Karolinska Institutet will process the information that I have provided in order to make a decision regarding reimburesement of the tuition fee.
  I agree

  I disagree

• NOTE! Don´t close your browser until your application is confirmed with a reference number

  When you send information to Karolinska Institutet (KI), this means that KI will process your personal data. 

  Here is information on how KI processes personal data.
  

  If this web form does not work, please contact registrator@ki.se and provide "formID_#19".