Withdrawal Application Form
０Please read the following instructions carefully and fill in the relevant information in the form:
1. Please fill in the relevant information completely and confirm that the refund amount is correct. Incorrect or incomplete information will affect the refund processing time.
2. When individuals cancel their registration, they must complete the online cancellation procedure within the test session application period. There is no need to mail back this cancellation application form. The refund amount will be based on the application confirmation date, and different administrative fees will be charged.
3. For those who issue company-issued invoices, please fill in two copies of the Cancellation Application Form (both with the special stamp for unified invoices) and return them by registered mail within the application period.
4. If you have any questions, please call or write to the customer service mailbox during working hours from 9:00 to 12:30, 13:30 to 17:30.
1. Please fill in the relevant information completely and confirm that the refund amount is correct. Incorrect or incomplete information will affect the refund processing time.
2. When individuals cancel their registration, they must complete the online cancellation procedure within the test session application period. There is no need to mail back this cancellation application form. The refund amount will be based on the application confirmation date, and different administrative fees will be charged.
3. For those who issue company-issued invoices, please fill in two copies of the Cancellation Application Form (both with the special stamp for unified invoices) and return them by registered mail within the application period.
4. If you have any questions, please call or write to the customer service mailbox during working hours from 9:00 to 12:30, 13:30 to 17:30.
| Order Number | CX2503311253160 (Please do not fill in this column) |
||||
| Chinese name | Xie Mingjin | ID Number | C121722282 | ||
| Cancel registration name | 1) Test Types: | Test Date: | |||
| 2) 2025/05/17 Longhua University of Science and Technology, | |||||
| Reason for cancellation of registration | Other British inspections have passed | ||||
| retreat fee square Mode |
Remittance, Bank Name: Chinatrust Commercial Bank |  |
|||
| Branch Name: | |||||
| Remittance Account Name: | Xie Mingjin | ||||
*Note 1. The refund is expected to be remitted to the designated account approximately 3-4 weeks after receiving the application form. 2. If you are a foreigner or mainland Chinese citizen and choose to remit, please provide a copy of your account. 3. If the remittance account number provided is incorrect and a second or more remittance is required, the remittance fee shall be borne by the candidate himself (this does not apply to the cancellation of registration fee). |
|||||
|
Profit-making business unified number | 20592312 | Sales return, purchase return or discount certificate from the business operator Discount certificate number: CL2504291619354 2025-04-29 |
|||||||||||||
| given name | say | Chung Hsin Co., Ltd. | ||||||||||||||
Business address |
2F, No. 45, Section 2, Fuxing South Road, Da'an District, Taipei City | |||||||||||||||
| Invoice | Return or discount content |
Tax category (V) | ||||||||||||||
 |
month | day | Character | Number | Taste | quantity | unit price | Amount (purchase amount excluding tax) | Business tax | answer |  |
|||||
| - | 2025 | 4 | 2 | LU | 96143661 | 1 TOEIC Listening and Reading Test | 1 | 550 | 524 | 26 | V | |||||
| 2 | ||||||||||||||||
| 3 | ||||||||||||||||
total |
524 | 26 | ||||||||||||||
The purchase returns or discounts listed in this certificate are true and are hereby certified.
Recipient:
Xie Mingjin
Recipient:
Xie Mingjin
The purchaser (or original buyer) stamps the unified invoice stamp |
| Unified Number: |
Note: For those who issue company-issued invoices, please fill out two copies of the Cancellation Application Form (both with the special stamp for unified invoices) and return them by registered mail within the application period.
After completing the form, please send it by registered mail to: (10699) Taipei Post Office Box 26-585 "Withdrawal of Registration Application".
The following column is to be filled in by Chung Hsin Co., Ltd.
| Cancellation amount (A) | Expenses to be deducted (B) | Actual refund amount |
| 1100 | 550 | 550 |