Change Of Address Form Concordia College

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International Student
Address Reporting Form
USCIS regulations require that international students keep the International Student
Office aware of their current US physical address and of their international home
address so this information can be updated in SEVIS. Please use this form to report
your initial US physical address (physical address means the place where you are
residing – you cannot report only a PO Box) and to report any change in your
permanent home address. The International Student Office also uses this form to
maintain a database so we can easily contact you.
Student Name ____________________________________________________
Concordia ID Number _____________________________________________
US Address Section
Physical Address _______________________________________
th
(Such as Concordia College, 901 8
Street S, Livedalen Hall Room 501)
City ___________________State _____ Zip __________
Phone _________________________________________
Campus CPO ___________________________________
Alternate Email(s) ________________________________
Mobile phone number _____________________________
Permanent International Home Address Section
Address __________________________________________
Address __________________________________________
Post Code _________ City ___________________________
Country __________________________________________
Phone ___________________________________________

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