International Student Affidavit Of Support Form
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2International Student Affidavit of Support
Instructions to the Parent/Sponsor: Please answer all items completely. State monetary
amounts requested below in equivalent US dollars. Amounts must be equal to or greater than the
amounts required. Please discuss these amounts with the applicant before submitting this form.
Please fill out legibly. If you do not complete all information, it will delay the student’s visa
process.
Estimated Undergraduate expenses for LDS Business College for two semesters (8 months)
Member
Non Member
Tuition
$3,100
$6,200
Living Expenses
$8,000
$8,000
Other (Books, Supplies, Health Insurance)
$1,500
$1,500
Total Expenses
$12,600
$15,700
An additional U.S. $2,000 per year should be added to the above estimates for each dependent. All fees are subject to change
without notice.
This affidavit is executed on behalf of the following person:
Name:
/
Net ID: _______________
Surname/Family Name
First,Middle
Date of Birth:_____________________ Citizen of (Country):_______________________
Marital Status:______________
Presently Resides At:
Street Address
City
State
Country
Parent/Sponsor(s) Information:
Parent/Sponsor’s Name:
/
Surname/Family name
First,Middle
Address:
Work Telephone: _____________________ Home Telephone: _____________________ Cell Phone:___________________
Email:________________________________________________ Parent/Sponsor’s Age:_________
Relationship to Applicant:
Sponsor
Father
Mother
Other (specify):________________________________________
Employment:
Position Held
Company Name
Net Annual Income (convert to US dollars):________________
Location
Convert the amount of money deposited in saving banks into US Dollars:__________________________
Types of Contribution: (check all that apply)
All support
Room and board
Other:____________
Money/tuition
Books and supplies
Total value in US$ per year:____________________ for a period of _____________ years, starting from ___________ to
month/year
_____________ or until applicant graduates college.
month/year
Please see next page:
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