Transfer In Form
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1Office of Global Initiatives
TRANSFER IN FORM
All students planning to transfer in to NJIT must fill out this form. Include a copy of your visa, most
recent I-20, Form I-94 print out and acceptance letter when submitting this form. Forms should be
sent to admissions@njit.edu.
STUDENT INFORMATION (to be filled out by the student)
Last Name: ______________________________________________ First Name:_______________________________________
Date of birth: ____________________________________________ NJIT ID#: _________________________________________
Home country address: _______________________________________________________________________________________
U.S. address: ___________________________________________________________________________________________________
Email: ___________________________________________________ Phone number: __________________________________
Start date at NJIT: _____________________________________
Major at NJIT: ____________________________________
ADDITIONAL INFORMATION (to be filled out by the international student adviser)
NJIT’s code is NEW214F00245000 .
SEVIS release date: __________________________________
Name of transfer-out institution: ____________________________________________________________________________
Dates of attendance: __________________________________________________________________________________________
Did the student lose his/her F-1 status at any time while attending your institution? ____YES ____NO
If you answered yes, please explain.
List any authorized reduced course loads the student had at your institution and any authorized
practical training (OPT/CPT) or Economic Hardship Employment. List semester/dates and degree
level of authorization. Use a separate sheet if needed.
Are there any other immigration-related issues of which we should be aware?
Your name and title: ________________________________________________ Signature: _____________________________
Phone number: ___________________________ Email: ______________________________Today’s date: __________
(VFA16)
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