Submit a Withdrawal

Withdrawal details

Please complete all required fields marked with an asterisk.

Last name *

First name *

Email address * A confirmation of receipt will be sent to this address.

Date the agreement was signed *

Funding company *

Reason for withdrawal (optional)

I hereby withdraw from the agreement I entered into with the funding company named above.

I have read and accept the Privacy Policy .

Information about your withdrawal

You have the right to withdraw from your funding agreement within fourteen days of signing the agreement, without giving any reason.

Withdrawal period

To comply with the withdrawal period, please complete and submit this form before the deadline expires.

Confirmation of receipt

You will receive a confirmation by email. This confirmation only confirms receipt of your withdrawal declaration.

Further review

We will assess the validity and timeliness of your withdrawal separately. You will receive a further notification from us regarding this in due course.

Your information will only be used to process your withdrawal.