Issi Form 133 Certification Of Program Completion For International Students
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1
2ISSI Form 133
Certification of Program Completion
for International Students
Instructions
This form certifies the student’s expected date of completion of a program of study. It is used primarily by F-1
and J-1students in the application process for Optional Practical Training (OPT) and Academic Training
(AT). This form is required for the OPT recommendation application.
• You must submit this form, when
o your I-20 is valid past your actual program completion date AND
o you are registered less than full-time in the last semester.
• You must receive required signatures on page 2. Make sure to allow adequate time for this form to be
completed, according to your Department/College document processing guidelines.
• Please allow ISSI up to 10 business days to process your new I-20 or DS-2019.
Part I: Personal Information: To be completed by the international student
Name: __________________________________________________________________________________________
Last/Family
First/Given
Middle
NU ID: ___________________________
Major: ____________________________ Degree: _________________
I will review the new program completion date that will be certified by my academic department, and will make sure the
information provided is accurate upon submitting this form at the ISSI.
Student Signature: ___________________________________________
Date: ____________________________
Month/Day/Year
Continue to 2
nd
page. Part II and III must be filled out by your academic department.
ISSI 133 MFS IK 022416-[Q] W
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