Ds 2019 Form - Application For A Certificate Of Eligibility Page 3

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IV. - DELIVERY INSTRUCTIONS – Documents will not be shipped without complete and clear delivery instructions.
The ISSI requires a minimum of two weeks after receipt of the complete application from the School of Professional and Continuing
Studies to issue an I-20 or DS-2019. Please make your visa interview arrangements only after receiving your visa eligibility
documents (I-20 or DS-2019) from Northeastern.
29. Delivery (select one A or B)
. □
A
Hold for pick-up. Please contact this person: _____________________________________________
at this U.S. telephone number when ready __ __ __-- __ __ __-- __ __ __ __ Extension __ __ __ __
. □
B
Mail visa eligibility document (please fill in address below)
Date valid until_________
Mailing Address (required)
Street Address line 1__________________________________________________________Apt.______________
(Cannot mail to P.O. Box)
Street Address line 2 ___________________________________________________________________________
City _____________________________________________________State or Province__________________________
Country __________________________________________________ZIP/Postal Code (required)________________
Mailing Address Telephone Number (required) ___________________________________________________________
IMPORTANT: The mailing address format outlined above is essential for delivery.
V - REQUIRED SUPPORTING DOCUMENTS FOR DCF/APPLICATION FOR CERTIFICATE OF ELIGIBILITY
In addition to the complete Application for Certificate of Eligibility (I-20 or DS-2019 form), the student is required to
submit the following documents with official English translation:
1. Copy of the identity page of passport
2. Original financial documents covering all expenses for one academic year, as listed on the Declaration and Certification of
Finances Form (e.g. bank letter, affidavit of support, letter from government agency, NU award letter, etc )
If you are in F-1/J-1 student status and transferring to Northeastern, you are required to submit the following in addition
to the documents listed above:
3. Transfer-In Notification Form: ISSI Form 658 available from the School of Professional and Continuing Studies
4. Copies of all I-20/DS-2019’s from previously attended schools
5. Copy of both sides of I-94 card
6. Copy of your current F-1/ J-1 visa stamp
Copy of Employment Authorization Document (EAD), if applicable.
7.
If you need to change your current nonimmigrant status to student status and plan to stay in the U.S., please submit the
following documents:
1. Copy of the identity page of passport
2. Original financial documents covering all expenses for one academic year, as listed on the Declaration and Certification of
Finances Form (e.g. bank letter, affidavit of support, letter from government agency, NU award letter, etc )
3. Copy of both sides of your I-94 card.
4. Copy of current visa stamp or copy of I-797 form.
5. Copy of your two-year residency requirement waiver (for “J” visa holders only), if applicable.
Your I-20 or DS-2019 will not be processed without supporting documents.
IMPORTANT:
SEVIS FEE
SEVIS, the acronym for Student Exchange and Visitor Information System, is the electronic reporting system for international students
required by the U.S. government. New student (F-1) and exchange visitors (J-1) with a form I-20 or Form DS-2019 issued on or after
September 1, 2004 are subject to a SEVIS fee of U.S. $100 (subject to change) for the maintenance of this electronic record. For
information, please refer to following website: Please remember that the fee must be processed at least three days
before the consulate interview unless the applicant has a printed receipt from Internet payment.
The SEVIS fee cannot be processed at the U.S. consulate or the U.S. port-of-entry.
ISSI 657-LAL-[Q] 71006
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