Request For The Form I-20/ds-2019
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2REQUEST FOR THE FORM I-20 ___ /DS-2019 ___
Part 1. Information about you
_________________________________________________________________________________________________________
Your Name (Last, First, Middle)
Your Visa Status (F-1/J-1)
UA ID Number
_________________________________________________________________________________________________________
Date of Birth
Country of Birth
Country of Citizenship
_________________________________________________________________________________________________________
Your Local Address
_________________________________________________________________________________________________________
Contact Phone Number
On-Campus Extension
E-mail Address
_________________________________________________________________________________________________________
Your Permanent Address in your Home Country
_________________________________________________________________________________________________________
Part 2. Reason for your request and documents to be submitted
Please check the appropriate box:
Why do you need a new I-20/DS-2019
Depending on the reason for this
Regardless of the
request, you should submit the following
reason, you should
documents
attach to your
request:
Change major or level of program
The letter of admission to the new
1. Copies of your
program
current
immigration
documents.
Transfer from another American
International Student Advisor’s Report
University to The University of Akron
completed by you and your international
2. Your current
advisor in your previous university
I-20/DS-2019
(except "Lost of
Extension of the current program
See the handout “Extension of Program”
I-20/DS-2019").
3. Financial
Lost I-20/DS-2019
A check or money order at the amount of
Documentation
$50.00 made payable to The University
(See Part 3)
of Akron
Bring spouse and/or children to the
Marriage License. Complete Part 4
USA on F-2/J-2 Visa
Change visa status to F-1
See the handout "Change Visa Status"
Other:
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