Request For The Form I-20/ds-2019 Page 2
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2Part 3. The source of your financial support
Please check the appropriate box and indicate the amount of support.
Source
Amount, US$
Documentation to be submitted with your request:
Personal Funds
Your original bank statement
Family Funds
The official letter of sponsorship or completed Form
Foreign Sponsor(individual)
“Declaration and Certification of Finances”(DCF)*;
The sponsor’s original bank statement
Your Sponsor is an
The official letter of sponsorship
organization(s)
Your Sponsor is a US Citizen
The form I-134 “Affidavit of Support” * completed by a
or US Permanent Resident
US Sponsor; The sponsor’s original bank statement
(“Green Card” Holder)
Government Scholarship
The official letter of Award
Tuition Waiver
The Scholarship Award
Assistantship
The Assistantship Contract
Other:
Note:
You must provide adequate, updated funding for yourself and all dependents. Please refer to
the Declaration and Certification of Finances (DCF) form for the required amount of funding.
* DCF can be obtained in the Office of International Programs; the form I-134 may be
downloaded from the website
Part 4. Information about your dependents
This section should be completed only if you want to bring your dependents OR they
are already with you in the USA on F-2/J-2 visa.
Family Name, Given Name
Date of Birth
Country
Country of
Relationship:
(As shown on passport)
(MM/DD/YYYY)
of Birth
Citizenship
Gender
Spouse or Child
Signature _______________________________________
Date(mm/dd/yyyy) ___________________
Processing time is 2-4 weeks. You will be notified by e-mail when the form is ready.
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