Instru cti ons*for*completing*the*Aff idav it*and *Sup porting*Bank*Letter*

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Affidavi t *

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1.*The*Affidavit*must*be *fully*and*properl y*completed.*(Print*in*ink*or*type,*in#

English).*

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2.*The*form*must*be*signed*and*dated*within*three*month s*of*the*time*the*student*

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Supporting/Bank / Letter*

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1.*An*ori ginal#letter*in*English#on*official#bank*statio nery*must*be*submitted*from*a*

bank*or*other*financial *institution*in*which*the*sponsor*has*savings*deposits,*

certificates*of*deposit,*mo ney*ma rket*certific ates*or*other*types*of*accounts#

conta inin g#readily#avail able#funds.**If*funds*are*in*mor e*than*one*financia l*

in sti tution, *a* se parate *letter*m ust*be*submitted*from*ea ch.*

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2.*The*letter*must*provide*a*specific*amount*of*funds*in*U.S.*dollars.*A*statement*

4.*The*specific*amount*of*funds*verified*must*total*at *least*$____ ,#_____ _._ ____*#(add *

$____,#______._____**per*dependant*and*or*spouse).*This*is*the*estimate d*total*cost*for*

one*full*year.**

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5.*Letter s*must *be*signed*and*dated*within*three#months*of*the*time*the*student*

pl ans*to*enroll. *I ncome*tax*documents,*bank*statements,*or*proof#of#prope rty#

ownership#ar e#not#acceptable*as*eviden ce *of*a va ilability*of*funds.*

PLE ASE#EST IMATE#EX PEN SES#FOR#THE#INTEN DED*#TERM/YEAR*

1)*Tui tion*fees *

US$____,#___ ___._____**

(Original# documents#must#replace#te mporary#copies ,#faxes,#efile s,# etc.#

submitted#be fore #applications#ar e#co nsidered#co mplet e).**Immigrat i on*

docum ents*are*p r ocessed*only*afte r * a*file*is* marked * c omplete.

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General%Inf ormation%*

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App lic ant’s*Name:*__________ _____ _____ _____ _____ ________________________* *****____ _____ _____ ______________________________________________*

***************************************(Family*or*last*name)***** **** *********** **** *********** **** ***(Giv en*o r*first*name)

___________________________________________________________________________________________________________________________________________*

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Spons or ’s* relatio nship*to*applicant:* _____ _____ _____ _____ _____ _________________________________________________________________________*

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Spons or ’s* employer*an d*an nual *income: *__ _____ _____ _____ _________________ _____ _____ _____ _____ _____ _____ ____________________________*

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Declara tion%of %Support***

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I,*_____ _____ _____ _____ _____ _____ _____ _____ ________,*finan cial*sponsor*fo r*________ __________________________________________________ _____ ,**

** ****I*do*plan*to*make*specific*c ontr ibutions*to*the*support**o f*the*prospective*st udent.*I*plan*to*contribute*

******* ****____________ _____ ________ _____ _____ _____ _____ ___*US* $* **per*year* for*[__]#years.*

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I*d o*not*plan* to*support *this*st udent.*

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I*certify*tha t*all*information*provided*on*thi s*Affidavit*and*on *the*a ttached*documen ts*prov ing*availability*of*funds*is *true*

and*valid.*I*fur ther*certify*tha t*I*understand* this*affidavit*is*a*bindin g*do cu ment.*

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Spons or ’s* signature:*_____ _____ _____ _____ _____ _____ _____ _____ ____________________________*Date*signed:*_ _____ _________________________*

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Certification#by#notary#public,#at torney,#U.S.#Con sular#Officer,#or#other#offi cial#authorized#to#a dminister#oaths.*

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