Affidavit Of Financial Support Form - International Students Page 3

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Affidavit of Support from Funding Agency (government, organization or institution/school)
Directions: Please ask your funding agency to complete the following.
We, ______________________________________ (name of sponsor), hereby certify that we will pay the
following expenses associated with tuition, fees, books, health insurance and living expenses for
______________________________ (student) and, if applicable, health insurance and living expenses
for spouse and children.
Study is approved for ___________________________ (degree) in _____________________________
(field of study) at The Ohio State University. Funding is effective from ____/________ (mm/yyyy) to
____/________ (mm/yyyy). Total award is $_______ (U.S. Dollars) per year for _________ years.
Signature of Sponsor: _________________________________ Date (mm/dd/yyyy): ____/____/________
Official Title: _____________________________ Office or Division: ______________________________
Address: _____________________________________________________________________________
Address where tuition and fees will be billed, if applicable:
____________________________________________________________________________________
Please affix official seal of funding institution if available.

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