affidavit of financial support for international students
affidavit of financial support for international students
affidavit of financial support for international students
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AFFIDAVIT OF FINANCIAL SUPPORT FOR INTERNATIONAL STUDENTS<br />
Important: You must return this from along with an <strong>of</strong>ficial bank statement from your funding source. The Bank<br />
statement must not be any older than 60 days from date sent and must have enough funds to cover your<br />
designated expenses. We recommend you request 2 original copies <strong>of</strong> each statement in case one gets lost in the<br />
mail. If you are providing more than one bank statement, you must have a letter from each sponsor.<br />
Instruction: Be<strong>for</strong>e filling out this <strong>for</strong>m, please refer to the enclosed Estimate <strong>of</strong> Expenses and make sure that your<br />
funding equals the amount necessary to attend Washington University. For <strong>students</strong> who have to take 45 credits<br />
you have to provide <strong>financial</strong> statements in the amount <strong>of</strong> $47,202 <strong>for</strong> your first academic year.<br />
Please complete this <strong>for</strong>m in full. This <strong>for</strong>m must be completed be<strong>for</strong>e Washington University can issue your visa<br />
eligibility document: I-20 or IAP-66. All sources <strong>of</strong> <strong>support</strong> must be shown in US dollars <strong>for</strong> a nine-month<br />
academic year, plus the cost <strong>of</strong> living expenses.<br />
APPLICANT’S PERSONAL INFORMATION (please print):<br />
Name: Last (family) First (given) Middle<br />
_____________________________________________________________________________________________<br />
Permanent Address:<br />
_____________________________________________________________________________________________<br />
_____________________________________________________________________________________________<br />
_____________________________________________________________________________________________<br />
Current Address: (if different from permanent address)<br />
_____________________________________________________________________________________________<br />
_____________________________________________________________________________________________<br />
_____________________________________________________________________________________________<br />
Country <strong>of</strong> Citizenship:<br />
Date <strong>of</strong> Birth (month/day/year):<br />
Marital Status (circle one): Single Married Divorced Widowed<br />
DEPENDENT INFORMATION<br />
Check the appropriate item:<br />
1. ____ I plan to come alone<br />
2. ____ My dependents will join me later<br />
3. ____ The following dependents will accompany me to the U.S. (see next page)<br />
List the dependents <strong>for</strong> 2 & 3:
Dependent’s Name<br />
Birthdate<br />
m/d/y<br />
Country <strong>of</strong> birth /<br />
Country <strong>of</strong> citizenship<br />
Relationship to<br />
you<br />
Date they will<br />
join you (no. 3)<br />
AFFIDAVIT OF SUPPORT:<br />
Please indicate the amount <strong>of</strong> funds available to you <strong>for</strong> the 2012-2013 academic year from:<br />
1. Personal/Family $____________<br />
2. Grants/Scholarships $____________ From Whom__________________<br />
(must provide letter <strong>of</strong> award)<br />
$____________ From Whom__________________<br />
$____________ From Whom__________________<br />
3. Sponsor $____________ (to be filled out by the sponsor and bank statement must be provided)<br />
Name: Last (family) First (given) Middle<br />
_____________________________________________________________________________________________<br />
Address:<br />
_____________________________________________________________________________________________<br />
_____________________________________________________________________________________________<br />
Relationship to applicant:<br />
_____________________________________________________________________________________________<br />
Signature:<br />
_____________________________________________________________________________________________<br />
Date:<br />
_____________________________________________________________________________________________<br />
4. Other source: $_________ Identify _____________<br />
(Please ask your funding agency to provide an original letter stating its <strong>support</strong> to you)<br />
5. Room and Board Sponsor* (circle one) YES or NO If yes, subtract $12,150 from total cost.*<br />
6. Add all funds $__________ Does this amount equal to necessary funds (circle one) YES or NO<br />
Amount Must Equal $47,202<br />
*If you have someone in the United States who will provide Room and Board <strong>for</strong> you at no charge, you can deduct $12,150<br />
from your cost <strong>of</strong> living, making $6,900 the amount you must show. A letter <strong>of</strong> <strong>support</strong> and bank statement from your sponsor<br />
must accompany this <strong>affidavit</strong>.