1-20 Application (Certificate Of Eligibility For F-1 Student Status) Page 2

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PART III: Address Verification
Please enter your US and overseas/home country address below (P.O. Box addresses are not valid)
OVERSEAS ADDRESS/HOME COUNTRY ADDRESS:
Name____________________________________________________________________________
Number/Street_____________________________________________________________________
City_____________________________________State ____________________________________
Country_________________________________ Postal Code_______________________________
US ADDRESS:
Name____________________________________________________________________________
Number/Street_____________________________________________________________________
City_____________________________________State ____________________________________
Zip Code_______________________________
□ Mail my I-20 to my overseas/home country address provided above
□ Mail my I-20 to my local U.S. address provided above
□ Hold my I-20 for pick-up
Please return this completed form to the Office of Admissions and Recruitment.
4200 Connecticut Avenue NW
Building 39, Room A-133
Washington, DC 20008
(202) 274-5552 (fax)

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