Application form for reimbursement of fees for language tests

Sending data

Family Name

First Name

Birth Date

Student Number

Email address

Phone Number

Faculty

Partner university(ies) requiring the test you had to take

Name of the taken test

Date when you took the test

Price of the test

Name of the Bank for the reimbursement

Name and First Name of the bank account holder for the reimbursement

N° IBAN Please check that your entry is correct.

Address of the bank account holder

Zip code

City

Evidence of payment of the language test Evidence of payment of the language test showing the full name of the person to be reimbursed

Proof of the university's (or universities') requirement for a commercial test

Confirmation of your application to a university exchange Acknowledgement of receipt of your application or, failing that, a copy of your application form

Deadline for the reimbursement application

The application must be sent no later than June 30 of the year in which the exchange application was made.

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Château de Dorigny - CH-1015 Lausanne
Switzerland

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