Individual entrepreneur Fedyukin Artyom Alexandrovich, OGRNIP: 314667906400012, TIN: 665903932872, legal address: Ekaterinburg, st. Krestinsky, d 59/1, apt. 104 (hereinafter referred to as the Contractor), by this public offer offers the Legal address of the organization
(hereinafter referred to as the Customer) to conclude an Offer Agreement for the provision of information and consulting services (hereinafter referred to as the Agreement).
In accordance with paragraph 2 of Article 437 of the Civil Code of the Russian Federation (Civil Code of the Russian Federation), if the conditions set out below and payment for services are accepted, the person accepting this offer becomes the Customer (in accordance with paragraph 3 of Article 438 of the Civil Code of the Russian Federation, accepting an offer is equivalent to concluding an conditions set out in the offer). In connection with the foregoing, carefully read the text of this Agreement and, if you do not agree with any clause of the Agreement, the Contractor offers you to refuse any actions necessary for acceptance or conclude a personal contract on conditions separately discussed with the Contractor. Full and unconditional acceptance of this offer is the implementation by the Customer of payment for the Services offered by the Contractor. With regard to the Services offered by the Contractor for promotions (special offers, if any) with the terms of payment in installments, full and unconditional acceptance of this offer is the payment by the Customer of the first part of the amount agreed by the parties. 1. TERMS OF THE PUBLIC OFFER In this offer, unless the context otherwise requires, the following terms have the following meanings: ● "Offer" - a public offer of the Contractor, addressed to any individual or legal entity, as well as an individual entrepreneur (Customer), to conclude an agreement with him on the conditions set forth in this Offer, as well as on the basis of familiarization with other rules of the online school "Power Words" presented on the website https://sila-slov.com
● "Acceptance" - full and unconditional acceptance by the Customer of the terms of the Offer. Payment by the Customer of the chosen format of access to the online course "The Power of the Word" on the Getkurs platform, executed in the personal account of the Getkurs Platform on the website https://sila-slov.com, means the Customer's consent to the terms of this Offer. ● "Sites" - https://sila-slov.com ● "Contractor" - an individual entrepreneur Fedyukin Artyom Alexandrovich, duly registered in the Russian Federation, providing information services via the Internet. ● "Customer" - a person who has entered into an Agreement with the Contractor on the terms of the Offer, for the provision of information and consulting services by the Contractor for compensation by conducting a course in the form of online broadcasting of video recordings on the Internet through the provision of special access, or in the form of online broadcasting on the Internet in real time mode. ● "Access" - the right of the Customer to view, get acquainted with and otherwise use the Courses of the Power of the Word online school. This right of the Customer is paid in accordance with the chosen tariff of the School “Sila of the Word” on the websites https://sila-slov.com
2. GENERAL PROVISIONS 2.1. The subject of this Agreement is the paid provision of information and consulting services by the Contractor by conducting the Course in the form of online broadcasting of video recordings over the Internet through the provision of special access (hereinafter referred to as the Course) or in the form of online broadcasting over the Internet in real time (hereinafter referred to as the Webinar) , (hereinafter jointly - the Services), in the manner and within the time limits stipulated by this Agreement. 2.2. Course - the author's training program of the Contractor, or third parties who transferred the exclusive rights to the program to the Contractor, which consists of a number of training lectures, files with information and, if the selected tariff includes online consultations, then online consultations in the format of audio or video communication. The format, time and schedule of their holding is set by the Contractor at its discretion. 2.3. The cost, list, content, terms, place and procedure for the provision of the Services are indicated on the Contractor's website on the domains https://sila-slov.com and its subdomains (hereinafter referred to as the Sites). The provision of services for each subsequent Course is carried out on the basis of this Offer Agreement at the first acceptance of the Offer Agreement, the Customer accepts the Agreement for a certain period in accordance with the selected access format. 2.4. The conditions for the provision of Services may also be communicated by the representatives of the Contractor to the Customer by sending an appropriate notification to the contact e-mail, to the personal account on the Site and / or SMS messages to the Customer's contact phone number, while the Customer is obliged to independently and in advance check the receipt of the notification coming from the Contractor .
3. TERMS AND CONDITIONS OF THE PROVISION OF SERVICES 3.1. The conclusion by the Customer of this Agreement is carried out by performing the following data: - First Name Last Name; - contact phone number; - contact e-mail; - Current city. 3.1.2. Providing the Contractor with access to the Customer to the personal account in the Platform to the mail specified by him. 3.1.3. The Contractor provides the Customer on the websites https://sila-slov.com information about the types, content, cost, and payment procedure for access to the online course "The Power of the Word" of the Getkurs Platform. 3.1.4. When the Customer makes payment for any of the accesses to the Courses in the personal account of the Getcourse Platform, the Customer confirms the full and unconditional acceptance of the terms of this Offer. 3.2. Payment for access is carried out in the following order: 3.2.1. The Customer pays for the services under this Agreement in the amount established by the Contractor. 3.2.2. Payment is made in the amount of 100% prepayment for access to the Courses of the Educational Platform. A different payment procedure is possible in accordance with the terms of the promotions (special offer), as well as in cases additionally agreed with the Contractor. 3.2.3. If the course payment provides for an advance payment, then upon making the advance payment, the Customer agrees to receive the service and agrees to the terms of this agreement. After that, the Contractor provides the Customer with access to the bonus materials of the Course. After paying for the corresponding Course in full, the Contractor provides the Customer with full access to the Course materials. 3.2.3.1. In the event that the Customer refuses to pay for the relevant Course in in full, the Contractor has the right not to return the amount of the prepayment for the selected By the customer The course, based on the calculation of compensation for expenses incurred by providing access to the customer's pre-training on the program to which the prepayment was made. The prepayment amount equal to 3,000 rubles (three thousand) goes towards repayment of the Contractor's expenses, and are also regarded as a penalty for the Customer for violation of the terms of the Agreement. 3.2.3. Payment for the Contractor's services is carried out in one of the following ways: - by payment by electronic money; - by paying through payment terminals or Internet banking; - by payment to the account of the Contractor; - in other ways by prior agreement with the Contractor. 3.2.4 Payment: In the case of making a payment using a bank card, the Customer is recommended to use a bank card issued in the name of the Customer. In the event of a refund of paid funds, the refund is made using the same details for which the payment was received, and on the basis of a personal application of the person in whose name the bank card was issued. 3.2.4.Date of payment: - by payment by electronic money; - by paying through payment terminals or Internet banking; - by payment to the account of the Contractor; - in other ways by prior agreement with the Contractor. the date of transfer of funds to the account of the Contractor is considered. 3.2.4.1. The date and time of payment for the course by paying in installments is the date and time of signing the documents on installments. 3.2.5. The Customer has the right to refuse to receive the services of the Contractor within a week from the date of granting access to the Getkurs Platform by submitting to the Contractor an application in the form of an Application, indicating the good reasons for such refusal (illness, business trip or other good reasons) with documents confirming such circumstances. If within a week, after providing access to the Getkurs Platform, the Customer does not refuse the online course "The Power of the Word", this means that he is satisfied with everything and no refund is provided later than this period. 3.2.6. The Contractor applies the patent system of taxation and is not a VAT payer in accordance with paragraph 3 of Art. 346.11 and paragraph 11 of Art. 346.43 of the Tax Code of the Russian Federation. 3.3. The service is considered to be provided by the Contractor from the moment the Customer is granted access to the paid Online Courses or Webinars. 3.4. If within 24 hours after the provision of services under this Agreement there is no reasoned refusal of the Customer to accept the services, the services are considered automatically accepted by the Customer without comment. 3.5. In case of non-payment (incomplete payment) of the cost of the Services within the established time limits, this Agreement is not considered concluded. 3.6. The Agreement is considered concluded and enters into force for the Parties from the moment the Customer pays for the services. 3.7. By accepting the terms of the Agreement, the Customer agrees in accordance with applicable law to the processing (hereinafter referred to as PD Processing) by the Contractor of the information provided by him and (or) his personal data. The processing of personal data is carried out using automation tools or without the use of such tools with personal data, including collection, recording, systematization, accumulation, storage, clarification (updating, from change), extraction, use, transfer (distribution, provision, access), depersonalization, blocking, deletion, destruction of personal data in order to fulfill the Contractor's obligations assumed under the terms of this Agreement, other obligations stipulated by the Agreement, as well as in order to fulfill the requirements of regulatory anti-money laundering acts and other normative acts. The period of use of personal data provided by the Customer is unlimited. The Customer also agrees to the processing and use by the Contractor of the information provided by him and (or) his personal data for the purpose of carrying out, at the contact phone number and (or) contact e-mail address specified by the Customer, information mailing about the activities of the Contractor and/or advertising mailing about other services of the Contractor and /or partner of the Contractor. Consent to receive the mailing list is considered to be granted indefinitely until the Contractor receives a written notice by e-mail of the Contractor about the refusal to receive mailing lists. The Customer also agrees to the transfer, in order to carry out the actions of the Contractor, provided for in this paragraph, the information provided by him and (or) his personal data to third parties if there is a contract duly concluded between the Contractor and such third parties. 3.8. A customer who has paid for a service at a rate where there are online consultations has the right to refuse consultations in whole or in part at any time. However, no refunds will be made for consultations. 3.9. The Contractor's expenses are understood to be expenses associated with the fulfillment of obligations under the Agreement, including, but not limited to: - the cost of paying for the development of the Course (author/methodologist/expert, etc.); - expenses for payment for services for filming and editing the Course (videographer/editor/cameraman, etc.; - the cost of renting a studio for recording / filming the Course; - expenses for communication services related to the placement of the Course in the information and telecommunications network "Internet", as well as communication with the Customer; - expenses for the services of a manager who accompanies the Customer from the moment of the initial application to the end of the Course; - utility costs (electricity); - the cost of paying taxes; - expenses for servicing the Contractor's current account; - advertising costs of the Course; - expenses for payment system commissions charged when transferring funds to the Contractor's account and from the Contractor's account to the Customer. 4. RIGHTS AND OBLIGATIONS OF THE PARTIES 4.1. The Contractor undertakes: 4.1.1. Before making payment by the Customer for any of the accesses to the Courses in the personal account of the Getkurs Platform, provide the Customer with all the necessary information about the Course on the Contractor's Website. 4.1.2. Provide oral or written explanations regarding the services provided, the procedure and rules for registration and payment by e-mail of the Contractor or on the school website, or by phone or instant messengers from 10:00 to 18:00 Moscow time on weekdays. 4.1.3. Provide access to the Online course of the Getkurs Platform within 24 hours after receiving payment for it from the Customer and registering the Customer on the learning platform. 4.2. The performer has the right: 4.2.1. Involve third parties in the provision of the Services without the prior consent of the Customer. 4.2.2. The Parties agree that the Contractor has the right to change the dates and times of the Webinars, as well as other conditions for conducting these Courses. The Contractor notifies the Customer of these changes by posting information on the Contractor's website at the address of the Course page, and at the same time the Customer is obliged to independently familiarize himself with these changes. 4.2.3. The Customer agrees that if the Customer violates clause 4.3.10 of this Agreement, the Contractor has the right not to allow the Customer to access the training Platform and not to return the funds paid for participation in this Course, since the Customer's actions will be considered a unilateral refusal to accept obligations. 4.2.4. The parties agree that: - The contractor has the right to change the number, order, name of lessons and modules, in comparison with those declared on the site, if the essence of the training (course) remains unchanged. -The Contractor has the right to remove Bonus Lessons, replace them at his own discretion, or block access to them before access to the main modules of the course or training ends. 4.2.5. The parties agree that the cost of the course is distributed in the following way: -The first day of access costs 98% of the total cost of the course at the time of payment, -The remaining days of access to the course are calculated as a percentage: the remaining days of the first month of access cost 1% of the paid amount for the course, the second third and subsequent months of access cost 1% of the paid amount for the course. -Extension of access to the course subject to availability is possible for a fee, according to the current prices for the course and the moment of extension is not the responsibility of the Contractor. -Extension of access to the course is possible only if the condition is met: purchase of the course at the rate with feedback (with support). . 4.3. The customer undertakes: 4.3.1. Independently and in a timely manner to get acquainted with the information about the Courses before the application is submitted, as well as with changes in these conditions, with the current version of the Agreement each time you visit the Site, including after accepting the Offer. 4.3.2 When registering, fill in the required mandatory fields and provide reliable information in them, in accordance with clause 3.1.1. Agreement. 4.3.3. Pay for the Services on the terms and at the cost in force at the time of payment. The current conditions and cost, as well as information about promotions (special offers) are posted on the Contractor's Website. 4.3.4. Agree with the Contractor in writing the transfer of rights to access the online Course to a third party, and provide the data of the new Customer specified in clause 3.1.1. of this Agreement, no later than 24 hours after payment. Agree with the Contractor in writing the transfer of rights to gain access to the Webinar to a third party, and provide the data of the new Customer specified in clause 3.1.1. of this Agreement, no later than 24 hours before the start of the relevant Course. In case of transfer of the right to gain access to the Courses to a third party, the terms of this Agreement and the Privacy Policy also apply to such person. 4.3.5. Do not allow third parties to use the Online Courses and Webinars available to the Customer. If the Contractor detects the fact of using the Online Courses and Webinars of the Customer by third parties, the Contractor has the right to prohibit the Customer from accessing the already paid online Courses and Webinars without returning the previously paid funds. 4.3.6. Observe the exclusive and copyright rights of the Contractor and other third parties. 4.3.7. Immediately notify the Contractor of changes in your personal and contact information in writing via contact e-mail. 4.3.8. Follow all the rules for participation in the Course, reflected in this Agreement, announced by the speakers during the Course and otherwise became known to the Customer. 4.3.9. Observe order and discipline on the Getkurs Platform both during registration and during the Course, do not create inconvenience for other Customers by your actions, do not provoke conflicts, do not use hostile statements against students and course teachers, and do not interfere with the learning process on the Getkurs Platform . In case of violation of the terms of this paragraph, the Contractor reserves the right to prevent the Customer from participating on the Getkurs Platform or remove the Customer from the site where the Course is held, while the funds paid by the Customer for the Course are not returned and are considered a penalty payable to the Contractor in connection with in violation of the Customer's obligations. 4.3.10. The Customer is obliged to comply with the rules and mechanics of using the Getkurs Platform, provided for in the personal account of the Platform. 4.3.11. The Contractor may, but is not obliged to provide the Customer with access to thematic closed and open chats in instant messengers, social networks. The Contractor may at any time close access unilaterally without notifying the Customer and explaining the reasons. Access to any chats and social networks is not included in the list of services provided under this agreement. 4.4. The customer has the right: 4.4.1. Make written notes during the Course, receive full information about the content and procedure for the provision of Services by the Contractor and independently study the course materials. 5. RESPONSIBILITIES OF THE PARTIES 5.1. In cases of non-fulfillment or improper fulfillment of their obligations under the Agreement, the Parties shall be liable in accordance with the legislation of the Russian Federation, taking into account the terms of this Agreement. 5.2. The Contractor shall not be liable in case of improper provision of the Services, if the improper performance was the result of the unreliability, insufficiency or untimeliness of the information provided by the Customer, as well as due to other violations of the terms of this Agreement by the Customer. 5.3. The Contractor is not responsible for the non-compliance of the service provided with the Customer's expectations and / or for his subjective assessment, such non-compliance with the expectations and / or negative subjective assessment are not grounds to consider the services provided of poor quality, or not in the agreed volume. 5.4. In the event that the Customer, for reasons beyond the control of the Contractor, did not use the Services and did not notify the Contractor of his desire to cancel the Services within the time limits specified in clause 3.4. of this Agreement, the Service is considered to be provided properly and the funds paid to the Contractor are non-refundable. 5.5. In case of violation by the Customer of the exclusive and copyright rights of the Contractor specified in Chapter 8 of this Agreement, the Contractor has the right: - to refuse to perform and terminate the Agreement unilaterally; - to be collected from the Customer and a fine in the amount of 200,000 (two hundred thousand) rubles. 5.6. The Parties are released from liability for non-fulfillment or improper fulfillment of their obligations under this Agreement, if such were the result of unforeseen, insurmountable circumstances, namely, an earthquake, fire, flood, other natural disasters, epidemics, accidents, explosions, military operations, changes in legislation, decrees of authorized persons, resulting in the impossibility of the Parties to fulfill their obligations under this Agreement. The Parties will make every effort to fulfill all obligations under this Agreement and will take advantage of the possibility of postponing the fulfillment of obligations for an agreed period. 6. DISPUTES RESOLUTION 6.1. All disputes and disagreements arising in connection with the execution of this Agreement shall be resolved by the Parties through negotiations. The term for consideration of a written claim by the Parties is 15 (fifteen) calendar days. 6.2. In case of failure to reach an agreement between the Parties, all disputes are considered in court, in accordance with the legislation of the Russian Federation at the place of provision of the service. The parties recognize the city of Ekaterinburg, Sverdlovsk Region as the place of provision of the Services. 7. TERM OF AGREEMENT AND PROCEDURE FOR ITS AMENDMENT AND TERMINATION 7.1. This Agreement comes into force from the moment of acceptance by the Customer and is valid until the full fulfillment of obligations by the parties. 7.2. The Contractor has the right at any time to change the terms of this Agreement unilaterally without prior agreement with the Customer, while ensuring the publication of the amended terms on the Internet on the Contractor's Website at least one day before they enter into force. 7.3. The Customer has the right to terminate this Agreement unilaterally if the Contractor fails to provide the Services within the stated time limits specified in paragraph 4.1.3. 7.4. The Contractor has the right to refuse to provide services to the customer at any time, without explaining the reasons for the refusal. If the reason for the refusal is not a violation of the contract, then the procedure for the return of funds will be as follows: The Contractor will notify the customer of the refusal of the service by letter to the email address specified during registration. The refund of the funds paid for the course is made to the customer in an amount not greater than that which the customer transferred to the Contractor's account. If the customer was provided with additional services before the start of the course, namely: bonus lessons, written or oral consultations, printed and electronic materials included in the course program, then the refund is made minus the amount of services and materials that were provided to the Customer. Penalties to the Contractor for non-performance of the service and refusal to perform the service are not provided for by the contract. 7.5. To return funds to the Customer, in case the Contractor refuses to provide services, to the Customer’s bank card, the Customer must fill out the “Application for a refund”, which is sent by the Contractor to the Customer’s email address, and send it along with a copy of the passport to the address: slovasila@bk.ru Refunds will be made to the Customer's bank account specified in the application within 10 (Ten) working days from the date of receipt of the "Application for Refund" by the Company.
8. RESULT OF INTELLECTUAL ACTIVITY 8.1. All information materials provided by the Contractor to the Customer in the course of the Courses, as well as the results of photo and video shooting received by the Contractor during the Courses, are the result of intellectual activity, exclusive and copyright, including related copyrights belong to the Contractor. 8.2. It is possible to take photographs, audio and/or video recording of the Courses only with the permission of the Contractor. The use of the results of intellectual activity without the written consent of the Contractor is a violation of the exclusive rights of the Contractor, which entails civil, administrative and other liability in accordance with the current legislation of the Russian Federation. 8.3. The Customer does not have the right to copy the audio and video materials of the Contractor's Courses in whole or in part, to record the broadcasts of the Courses, as well as to fix the content of such Courses in whole or in part in any way and / or on any material medium, and also to use the content of these Courses without a written consent of the Contractor, which will be considered a violation of the exclusive right of the Contractor and entails civil, administrative and criminal liability in accordance with the current legislation of the Russian Federation. 9. CONFIDENTIAL INFORMATION. PERSONAL DATA OF THE CUSTOMER 9.1. The Parties undertake, without mutual consent, not to transfer to third parties organizational, technological and commercial information that is a secret for any of the Parties (hereinafter referred to as "confidential information"), provided that: - such information has actual or potential commercial value due to its unknown to third parties persons; - there is no free access to such information on a legal basis; - the owner of such information takes appropriate measures to ensure its confidentiality. 9.2. Confidential information is subject to protection indefinitely. 9.3. The Customer expresses his consent to the use by the Contractor of the Customer's personal data provided by him during registration on the Contractor's Website. The Contractor is obliged to ensure the safety of the Customer's personal data. 9.4. By concluding this Agreement, the Customer agrees to use the Customer's image included in the results of the Contractor's intellectual activity specified in clause 4.2.1. Agreement. The Customer expresses his consent to the use by the Contractor of the video / audio / text reviews provided by him to the Contractor. If the Customer does not agree to grant the rights to use his image, he notifies the Contractor in writing to the Contractor's e-mail address.
10. OTHER TERMS 10.1. The application filed by the Customer, which is filled out on the Contractor's Website, is an integral part of this Agreement. 10.2. In all other respects that are not provided for by this Agreement, the Parties will be guided by the current legislation of the Russian Federation. 10.3. The Customer confirms that prior to the conclusion of the Agreement (acceptance of this Agreement) he received from the Contractor all complete information about the terms, procedure and other conditions for the provision of the Services and that all the terms of this Agreement are clear to him, and he accepts them unconditionally and in full. 10.4. If the Customer is hostile towards the Contractor and demonstrates this in writing and orally in every possible way, writes malicious comments and demands, writes claims on the school platform in messages, or in comments to lessons, then the Contractor has the right to close access to the school platform, without refund funds. 10.5. If the Customer makes unlawful demands for the return of funds, then such a demand may, but does not have to be considered as extortion or fraudulent actions on the part of the Customer, and the Contractor has the right to go to court.
11. REFUND: 11.1. The Customer has the right to refuse the paid online course no later than 1 week after granting access to the Contractor's Getcourse Platform. 11.2. The Customer is not entitled to refuse the paid Order (or part thereof) of proper quality, having individually defined properties. 11.3. In the event of the provision of the Service of inadequate quality (provided not in accordance with the description posted on the website https://sila-slov.com, the Buyer undertakes to contact the Seller as soon as possible. 11.4. The amount paid by the Buyer for the Service of inadequate quality is subject to return to the Buyer within 10 calendar days from the date of presentation of the relevant request. Refunds are made according to the details specified in the Customer's application. If the Service was paid through the electronic payment system, then the refund is made to the Buyer's electronic account within 10 working days. 11.5. To return money for the Service of good quality (provided in accordance with the description posted on the websites https://sila-slov.com), the following conditions must be met: - Before receiving the service or within 24 hours from the moment of receiving the Service or from the moment of payment for the service, the buyer must notify the seller of his desire to return the funds paid for the service to the email address slovasila@bk.ru In other cases, a refund for a service of good quality (provided in accordance with the description posted on the websites https://sila-slov.com impossible. If a notification letter is not received at the specified email address within 24 hours from the moment the customer receives the service, or from the moment of payment, the service is considered accepted by the customer in full and a refund is not possible. 11.6. To return money for a service of inadequate quality (provided not in accordance with the description posted on the websites https://sila-slov.com), an invoice or an act on the return of funds is drawn up, which indicates: - full corporate name of the Seller; - last name, first name, patronymic and passport details of the Buyer; - Name of service; - the reason for the refund for the Service; - date of provision of the Service; - the amount to be returned; - signatures of the Seller and the Buyer. 11.7 In order to return funds in the absence of the fact of the start of the provision of services, the following conditions must be met: - The Customer within 1 hour after paying for the service must notify the Seller of the impossibility to accept the service. - In other cases, a refund for a Service that has not been rendered is not possible. 11.8. The cost of the Service shall be refunded no later than 7 (seven) days from the date the Customer submits the relevant request. 11.9. To return funds to a bank card, the Customer must we can fill out the "Application for the return of funds", which is sent upon request by the Company to the Customer's email address, and send it along with a copy of the passport to the address: slovasila@bk.ru Refunds will be made to the Customer's bank account specified in the application within 10 (Ten) working days from the date of receipt of the "Application for Refund" by the Company. 11.10. The term for consideration of the Application and the return of funds to the Customer begins to be calculated from the moment the Company receives the Application and is calculated in business days, excluding holidays/weekends. If the application is received by the Company after 18:00 on a business day or on a holiday/day off, the moment the Company receives the Application is the next business day. 11.11. The Buyer must submit the return request to the Seller or in writing to the e-mail address slovasila@bk.ru. The request can be made in free form with the obligatory indication of the Buyer's contact details that match those specified when ordering the Service, the name of the returned Service and the reasons for the return. The Buyer has the right to ask all the questions that have arisen to the Seller at the e-mail address slovasila@bk.ru.
12. PERFORMER: Name: IP Fedyukin Artyom Alexandrovich Requisites (OGRN / TIN): PSRN: 314667906400012 / TIN: 665903932872 Address: 620073, RUSSIA, SVERDLOVSK REGION, G EKATERINBURG, STR. KRESTINSKOGO, D 59, KORP 1, KV 104,
Bank account details: 40802810400000119293
Bank JSC "TINKOFF BANK",
BIC 044525974
C/C No.: 30101810145250000974 Customer Name of the organization
Application.
I.P.A.A. Fedyukin School “The Power of the Word”
Application for a refund.
I, full name, passport details, I ask you to return the funds paid to me in the amount of .... paid by installment/online transfer.