Graduate SEVIS Transfer Form
To the International Student: Please complete section 1 and submit this form together with a copy of your ASU Admit Letter to the
International Student Advisor at your current/last U.S institution.
To the DSO/International Student Advisor: the student who filled out section 1 is requesting that his/her SEVIS record be transferred
to Arizona State University. Please fill out section 2 and transfer the record to school code PH0214F00127000.
Transfer deadlines:
For Spring 2016, the SEVIS Transfer deadline is 01/08/2016
For Summer 2016, the SEVIS Transfer deadline is 05/03/2016
For Fall 2016, the SEVIS Transfer deadline is 08/12/2016
Section 1 (to be completed by the student)
Last name:
Given names:
Current institution id:
ASU id #
(10 digits)
SEVIS/Home Country Address
(This is your home country address, not your U.S. address – do not enter a P.O. Box address)
Address Line 1
Address Line 2
City
State/Province
Postal code/Zip/Pin
Country
I hereby request the Designated School Office (DSO) to release my record and provide my information to Arizona State University.
Arizona State University
Admissions Services
PH0214F00127000
School code:
E-mail:
fg@asu.edu
Fax: (480) 965 5158
I understand I must be enrolled full-time no later than the late registration and add/drop deadline published in the ASU academic
calendar, and that I must check in with the International Student and Scholars Center before the first day of class. I also understand
that I am not eligible to register for classes until my transfer I-20 is issued by Arizona State University.
_______________________________________________________________________________________
________________
Student’s signature
Date
Section 2 (to be completed by the International Student Advisor or DSO)
SEVIS release date (MM/DD/YYYY): _______________
SEVIS ID Number: _____________________________________
(
Current program or OPT end date – an actual date is needed, please do not write “at end of program”)
Please choose one of the following:
This student is in good standing and is/was enrolled in a full course of study. Last day of attendance/OPT: _______________
This student is out of status and a reinstatement is pending. He/she will be transferred after the reinstatement is finalized.
This student will not be transferred.
Comments: _______________________________________________________________________________________________
_________________________________________________________________________________________________________
DSO information
Name (please print): ___________________________________ E-mail: ______________________________________________
Institution name: ______________________________________ Phone: ______________________________________________
Institution address: __________________________________________________________________________________________
_______________________________________________________________________________________
________________
DSO signature
Date
Please contact us at (480) 965 6113 if you have any questions.
Please submit this form by fax to (480) 965 5158 or by e-mail to fg@asu.edu
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