Template Cancellation Form - 1GLOBAL eSIM Data Plans distributed through Revolut app

[Complete and return this form only if you wish to cancel the contract.

How to complete form – please print and complete, or copy, paste and complete this form for sending by email to [email protected], or send us the requested information via the Revolut support chat on the Revolut app.]

To 1GLOBAL, c/o Revolut Ltd

I, the Customer indicated below, hereby give notice that cancel my contract of purchase of the eSIM Data Plan ordered on _________________________.

Name of Customer(s) _______________________________________________

E-mail used to purchase the eSIM Data Plan ____________________________

Signature and date: ____________________________________