Indiana University Declaration Of Financial Support
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1Declaration of Financial Support
(Please complete form in English)
Student Information
First
Name:
Family Name:
Indiana University Student Identification Number (if known):
Date of Birth: Month
Day
Year
Declaration of Financial Support
By signing this form:
I ensure the funds corresponding to my signature will be available to the above named student for the first academic year
at Indiana University Bloomington
I understand the support amount is for one year of expenses, and a comparable amount will be needed for the duration of
the student’s program
I understand this statement is being used for the purpose of issuing an immigration document
Amount to be Provided
Name of Supporter
Supporter's Signature
Date
by Supporter
Family
U.S. $
Member
Family
U.S. $
Member
Friend
U.S. $
Friend
U.S. $
Friend
U.S. $
Please Return this Declaration to the Office of International Services
To guarantee the most efficient processing, please submit an electronic scan of this declaration via the Financial
Documentation E-Form on iStart. You can reach the E-Form by following this link:
Poplars 221, 400 E. Seventh Street
ois.iu.edu
International Admissions
Bloomington, Indiana 47405
(812) 855-9086
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Parent category: Financial