TECOM Government Services

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TECOM GOVERNMENT SERVICES DEPARTMENT
Application for Refund Request

Instructions

1. To ensure you get an updated version of the form, please Press Ctrl + F5.
2. Please fill out all fields.
3. Click on `Print` button to generate a PDF file.
4. Print the PDF with high quality laser printer.
5. Submit it in hard copy, along with all required attachments, to TECOM Government Services.

Frequently Asked Questions
Note that you need Adobe Reader to generate the PDF file. Click here to download the free Adobe Reader.
If you are having any difficulties to generate the PDF file, click here for more instructions.

Refund Details

Receipt Number:
Date of Payment: DD-MM-YYYY
Amount Paid (in AED):
Package Applied For:
Service to be Refunded:
Reason For Refund Request:
Maximum 150 Characters

Company Details

Company Name:
License Number:
PRO Mobile #: 05xxxxxxxx
Email ID:
Name of Authorized Signatory:
Date: DD-MM-YYYY

Requirements

Original receipt

Notes

No Refund can be claimed after 3 Months
A copy of Receipt should be attached with the request
No refund is applicable for unused Visit Visas or Express Service
Violation of TECOM regulations will result in imposition of penalties
For further queries please email us on GSOenquiry@tecom.ae