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Fillable Printable Affidavit of Financial Support for International Students F-1 - California

Fillable Printable Affidavit of Financial Support for International Students F-1 - California

Affidavit of Financial Support for International Students F-1 - California

Affidavit of Financial Support for International Students F-1 - California

Revised 12/04/12
San José State University - Declaration of Finance
(Affidavit of Financial Support for International Students F-1)
The following documents are also required in order to process your admissions and I-20:
Copy of a letter from a Bank indicating proof of funding
● Copy of your Passport
PERSONAL INFORMATION
SELF, SPONSOR, OR GOVERNMENT FUNDING
Please check all appropriate boxes:
Self …………………………………………………………………………………. U.S. Dollars
You must submit proof of Financial Resources by attaching one or more of the following documents (photocopies, fax, or e-mail are acceptable):
● A letter from a bank or financial institution on bank letterhead, signed and dated by appropriate bank official showing proof of personal or sponsor funds.
A copy of a scholarship award letter showing effective term and U.S. dollar amount that will be provided.
Sponsor (Parent, Relative, other) ………………………………………………….. U.S. Dollars
[Type a quote from the document
Government*………………………………………………………………………….. U.S. Dollars
* This includes embassies, government loan agencies, government contract agencies, CSU schools and departments, athletic scholarships, and
approved non-resident tuition waivers. Please send an original signed copy of the award letter on organizational letterhead that specifies in
English the terms of the support, U.S. dollar amounts to be covered for tuition and/or living expenses, and duration of the sponsorship.
F-2 DEPENDENT INFORMATION
Applicants who plan to bring dependents must complete the following:
If you are married and plan to have your dependent(s) live in the U.S. while you are attending San José State, you will need to include in your
calculation of academic years costs, the amounts of $5,000.00 for your spouse and $5,000.00 for each child.
I certify that the statements made above are true, complete, and accurate. I understand that providing false or misleading information could
result in the denial of my application, (if already admitted) disenrollment from San José State, and deportation from the United States.
The United States government requires all universities to obtain documentation that a student has adequate financial resources to cover
living and educational expenses prior to the issuance of an I-20 Certificate of Eligibility. The combined U.S. dollar amount from your
sponsor(s) must equal or exceed the minimum. Bank verification of funds must not be older than six months. Important: Your application
for admission will not be processed without this form, bank verification from your funding source stated in U.S. dollars, and a copy of
your passport. No Exceptions!
Family/Last Name (Name on passport):
First Name (Name on passport):
Date of Birth (month/day/year):
Country of Birth:
Country of Citizenship:
E-mail address:
Name of Spouse Family/Last Name: First Name:
Date of Birth:
(
MM/D/YR)
Country of Birth:
Names of Children who will accompany you to the U.S.: Gender (male/female):
Student’s Signature:
Name of sponsor:
Relationship to applicant:
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