Form Fnif - Foreign National Information Form
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2FOREIGN NATIONAL INFORMATION FORM
Rowan University Payroll Services
Check One:
Initial Submission
Update – Required only if any information in Section B or C changes during individual’s stay in U.S.
Employing Department:
____________ University Position Title:
A copy of your I-94 Arrival/Departure Record, a copy of your passport and U.S. Visa , and a copy of your I-20
(F-status),DS-2019(J-status),or I-797(H-1 status) must be attached to this form.
SEE PAGE TWO FOR HELP ON HOW TO COMPLETE THIS FORM
Section A – General Information
(1) Last Name/Surname_________________________________ First/Given Name ______________________ Middle Initial_____
(2) U.S. Taxpayer ID – Social Security Number (SSN) _________________________
Initial here if you don’t have a SSN: ______
Initial here if you have applied for a SSN:__________
(3) Employee/Student ID #________________________
(4) Date of Birth (mm/dd/yy)
_____/_____/_____
(5) United States Local Address
(6) Foreign Residential Address
Line 1
___________________________________________
Line 1
___________________________________________
Line 2
___________________________________________
Line 2
___________________________________________
Line 3
___________________________________________
Line 3
___________________________________________
City/Town ___________________________________________
City/Town
___________________________________________
Zip
State
_______________________ Code_______________
Region/Province _______________________________________
(7) US Home Telephone __(_____)_______________________
Postal Code__________________________________________
(8) E-mail Address ____________________________________
Foreign Country _______________________________________
Section B – Passport and Visa Information – Purpose of Visit
(9) Visa Type – Select One
J-1 Research Scholar
H-1B
J-1 Student
J-1 Short-Term Scholar
TN
F-1 Student
J-1 Physician
O-1
Other; please specify _______________________________
(10) If you have a F, J, H, TN, O, L, P, A, or G Visa, please list the sponsoring
institution or company named on your immigration documents____________________________________________________
(11) Primary Purpose/Activity of Visit – Select One:
Studying in a U.S. degree program
Consulting
Conducting Research
Clinical Activities
Studying in a U.S. non-degree program
Teaching
Specialized Training
Temporary Employment
Graduate Medical Education/Training
Join Spouse
Other; please specify _______________________________
(12) If U.S. student, list type of student:
Undergraduate
Masters
Doctoral
Other, please specify ______________
(13) Passport # ______________________________
: ______/______/______
: _____/______/______
Issue Date
Expiration Date
month
day
year
month
day
year
(14) Country of Passport / Citizenship _____________________
(15) I-94 Arrival/Departure # __________________________
(16) Marital Status: Single
Married
(17) Skip if you answered “Single” to #16: a. Is your spouse in the U.S?
Yes
No
b. Is your spouse working in the U.S.?
Yes
No
c. List Number of dependent children in the U.S. ___________
(18) Country of Tax Residence if Different from Foreign Residence address in Item 6 above: _____________________________
Did the tax Residency end?
Yes
No
If yes, when?
_____/_______/_______
month
day
year
Form FNIF (07/10/08)
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