Section I: Affidavit Of Support Page 3
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3SECTION III:
AFFIDAVIT OF SPONSOR PROVIDING FREE
ROOM AND BOARD
(Cash value to the student of $7,416.00)
TO BE COMPLETED ONLY BY THE PERSON WHO OWNS OR RENTS THE PROPERTY.
A copy of lease or deed in the sponsor’s name must accompany this
All questions must be answered.
Affidavit. This means that the room and board
sponsor does not require the student to pay rent for living at
the below residence.
This affidavit is being submitted on behalf of
: _______________________________________________
Full Name of Student
Name of Sponsor providing free room and board
:
______________________________________________________________
Last Name
First Name
__________________________________________________________________________________________
Address
City
State
ZipCode
TELEPHONE# (
) __________ - _________________ Do you live at this address? (
) YES (
) NO
Sponsor’s relationship to the student is:
__________________________.
Type of residence being offered to the student?
Private House (
)
Apartment (
)
Owned (
)
Rented (
)
Number of Rooms ____________________ How many persons will be living there? ___________________
How long will you provide Room and Board? __________________________________________________
Before signing, you must understand that you are making a financial commitment to the student. Sponsors,
who fail to provide the promised support, will force students to drop out of school. Sponsors should not expect
the student to be able to help support the costs through employment. Employment is strictly controlled by the
Immigration Service and is very limited.
AFFIRMATION OR OATH
I hereby affirm that I understand the contents of this affidavit and that the above statements are accurate.
Signature of sponsor __________________________________
Sworn and subscribed before me this __________ day of ________________________, in the year __________
Signature of Officer Administering Oath
OFFICIAL SEAL
HERE
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Untitled 1:BMCCI-20 Instructions.doc
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