Global Pay Foreign Bank Transfer Request

University of California, Los Angeles

In partnership with UCLA Business and Finance Solutions, Convera has established this form to process student refunds through an electronic fund transfer to a foreign bank. Please work directly with your bank to ensure all required fields are completed accurately. If you enter any information incorrectly, we will need to reach out to you and correct any errors which may delay the process.

If you have questions related to completing the form, please contact the Convera Global Pay Customer Service Center using VendorManagement@convera.com

If you have questions regarding available refund methods, please review Business & Finance Services Operations in Response to COVID-19 or contact Student Accounts on the Message Center. For further questions, please review our FAQ.

IMPORTANT NOTE: It may take up to 48 hours to create your Convera profile. You will be updated regarding the status of your form once it has been reviewed. In order to avoid delays please follow all instructions below.If you do not have a bank account, please consider submitting a Retail Cash Disbursement Request. A new window will open.

9 Digit UID

9 Digit UID as provided by UCLA

Bank Country

Select the country in which your bank branch is located.

Name of Bank Account Holder

Bank account holder name and student name on file must be the same

Bank Name

Enter name of your bank. Please contact your bank if unsure.

Account Number

Enter Account number. Please contact your bank if unsure.

IBAN

Enter your IBAN. If this number is entered incorrectly, we will be unable to make payment. Please contact your bank if unsure.

Routing Code

Enter Routing Code. Please contact your bank if unsure.

ACH/ABA/RTN

Enter 9 digit ACH/ABA/RTN Code. Please contact your bank if unsure.

IFSC Code

Enter IFSC code - visit Bank IFSC Code website, if not available enter Routing Code. Please contact your bank if unsure

BSB code

Enter 6 digit BSB Code. Please contact your bank if unsure.

Bank Code

Enter Bank Code. Please contact your bank if unsure.

Transit Number

Enter 4 digit Institution Identifier followed by 5 digit Branch Identifier. Please contact your bank if unsure.

Bank SWIFT Code or BIC

Enter your bank swift code. Search for your bank by visiting The Swift Codes

BIK

SKN code

Enter SKN. Please contact your bank if unsure

Individualniy Nomer Nalogoplatelshchika

Enter Individualniy Nomer Nalogoplatelshchika.

CNAPS

Enter CNAPS. Please contact your bank if unsure.

Tax Id

Enter Tax Id.

National ID Number

Enter National ID Number.

Registro Unico Tributario Number

Enter 9 digit Registro Unico Tributario Number.

Cedula De Ciudadania Number

Enter Cedula De Ciudadania Number.

Cedula Juridicia

Enter Cedula Juridicia.

Bank Address

Enter street address of bank branch. Please contact your bank if unsure.

Bank City

Enter City of bank branch. Please contact your bank if unsure.

State / Province

Select State/Province of your bank branch. Please contact your bank if unsure.

Bank Postal Code

Enter zip/postal code of your bank branch. Please contact your bank if unsure.

Student Contact Details

Please provide your contact details below with your full name as listed on your government issued ID

Country

Select Country of residence.

Student’s Legal First Name

Enter First Name.

Student’s Legal Last Name

Enter Last Name.

Country of Birth

For identification purposes, please place of birth.

Date of Birth

For identification purposes, please provide your date of birth.

Please provide the registered Email ID with UCLA.

Re-enter email address

Address

Enter Street address of residence.

City

Enter City of residence.

State / Province

Enter state/province of residence.

Postal Code

Enter zip/postal code of residence.

Telephone

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