ࡱ> bda  bjbj$$ -sF|F| 8J^(       $4l/"/D@  pI LZ0U //qd :  Advertisement Licensing System (ALS) Credit Refund Request Form (for official use) Date Received : _________________________ Request No: _________________________ Part I. Refund Details (to be completed by Requestor)Payment Mode  FORMCHECKBOX  Cash Card   FORMCHECKBOX  Credit Card FORMCHECKBOX  Others (Please specify)______________________________________ Transaction Date ______________________________Transaction Time______________________________Receipts No______________________________Transaction Reference No______________________________Amount Charged/Deducted______________________________Card No______________________________Expiry Date______________________________Refund Reason___________________________________________________ ___________________________________________________ ___________________________________________________Requestor Name___________________________________________________NRIC No______________________________Address___________________________________________________ ___________________________________________________Contact No______________________________Email Account___________________________________________________   Card No can either be the Cash Card number or the Credit Card Account Number, depending on the mode of payment used.  Applicable for Credit Card usage only. 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