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    Office of International Services

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    Sankalp Kumar
    This document provides instructions for international students to complete the International Student Declaration and Certification of Finances form. The form is used to create the Certificate of Eligibility (Form I-20/DS-2019) and must include personal information, dependent information if applicable, and documentation of financial support. Students must demonstrate they have sufficient funds to cover estimated expenses for one academic year. Acceptable forms of financial documentation include original bank statements or letters not older than 6 months, stating the account holder's name and exact available funds. The total documented support must meet or exceed estimated costs of attendance.

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    Office of International Services

    Uploaded by

    Sankalp Kumar
    33 views2 pages
    This document provides instructions for international students to complete the International Student Declaration and Certification of Finances form. The form is used to create the Certificate of Eligibility (Form I-20/DS-2019) and must include personal information, dependent information if applicable, and documentation of financial support. Students must demonstrate they have sufficient funds to cover estimated expenses for one academic year. Acceptable forms of financial documentation include original bank statements or letters not older than 6 months, stating the account holder's name and exact available funds. The total documented support must meet or exceed estimated costs of attendance.

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    For MS in US

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    Dec.of.Finances

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    This document provides instructions for international students to complete the International Student Declaration and Certification of Finances form. The form is used to create the Certificate of Eligibility (Form I-20/DS-2019) and must include personal information, dependent information if applicable, and documentation of financial support. Students must demonstrate they have sufficient funds to cover estimated expenses for one academic year. Acceptable forms of financial documentation include original bank statements or letters not older than 6 months, stating the account holder's name and exact available funds. The total documented support must meet or exceed estimated costs of attendance.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    33 views2 pages

    Office of International Services

    Uploaded by

    Sankalp Kumar
    This document provides instructions for international students to complete the International Student Declaration and Certification of Finances form. The form is used to create the Certificate of Eligibility (Form I-20/DS-2019) and must include personal information, dependent information if applicable, and documentation of financial support. Students must demonstrate they have sufficient funds to cover estimated expenses for one academic year. Acceptable forms of financial documentation include original bank statements or letters not older than 6 months, stating the account holder's name and exact available funds. The total documented support must meet or exceed estimated costs of attendance.

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    of 2

    UIC

    1. 2.

    Office of International Services


    Instructions

    International Student Declaration and Certification of Finances

    This form will be used to create your Certificate of Eligibility (Form I-20/DS-2019). Please print clearly and complete all information. If information is missing, this will delay the issuance of your document. Include a copy of the biographical information page in your passport. (If you do not include a copy of your passport, this will NOT delay your I-20/DS-2019). Once this form is completed, place this form on top of the relevant, original financial documents itemized below, and your passport copy and mail to: Office of International Services (MC 326) Suite 2160

    University of Illinois at Chicago Student Services Building 1200 West Harrison Street Chicago, IL 60607-7164
    3. To check the status of your Form I-20/DS-2019 visit: http://www.uic.edu/depts/oar/prospective_students/index.html

    Personal Information
    University Identification Number (UIN) 9 digit number found on your admissions letter ____________________________________________
    Name as it appears on passport: ________________________________________________________________________________________________ Last Name/Surname First/Given Name Middle Name (optional) Proposed first term of enrollment (check one term only): Fall Spring Summer Year: _______________________ :__:______________________________________ Level: Undergraduate Graduate Other__________ Field of study (Major): ______________________________________________ Marital status: Single Married City of Birth ______________________________________ Country of birth ___________________________________ Date of birth (mm/dd/yy) ____________________________ Gender: Male Female

    Country of citizenship _______________________________________________ Country of legal permanent residence ___________________________________ Email ____________________________________________________________

    Position/title in Country of Legal Permanent Residence (If student, indicate undergraduate or graduate): ___________________________________ Above institution is: Government (if government, please see below) Academic Private Sector Other: ______________________ If Government: Central State, Regional, or Provincial City or Town Mailing Address (This is where your Form I-20/DS-2019 will be mailed)

    For students currently in U.S. only


    Current status _______________________________ SEVIS # (if applicable)

    Address Line 1 Do you plan on changing your status? ___ yes ___ no If yes: ___ by travel ___ within the US. Address Line 2 (if applicable)

    For students transferring in from a school within the U.S.


    Postal Code

    City

    State/Province

    Name of school: _______________________________ Name of intl advisor: __________________________ Phone number of advisor:________________________ SEVIS release date :____________________________

    Country

    Dependent Information
    If you will be accompanied by your spouse and/or children, you must certify to the U.S. Embassy or Consular office that you have additional financial resources before dependent visas can be issued. The approximate expense per month for the first dependent is $500 and $365 for each additional dependent. Only include dependents who will accompany you to the U.S. Do not include dependents who are U.S. citizens
    Name (Family, First) Relationship (spouse or child) Birthdate: mm/dd/yyyy

    Dependents are defined as your spouse or unmarried children under 21 Attach additional sheet if necessary
    Country of Birth Country of Legal Permanent Residence Country of Citizenship Gender (male or female)

    City of Birth

    Office of International Services (MC 326) SSB Suite 2160, 1200 W. Harrison, Chicago, IL, 60607-7164 Phone (312) 996-3121, fax (312)996-9432, [email protected], www.ois.uic.edu
    Rev 07/10

    UIC

    Office of International Services

    International Student Declaration and Certification of Finances

    Financial Certification 1. You are required to document that you can cover the cost of expenses while living in the United States for one academic year (9 months). To see current estimates, visit the OIS website: http://www.ois.uic.edu/students/new/estimated-expenses/ 2. The evidence of financial resources which we are requesting are frequently required by consulate officials before a visa is granted. Therefore, we recommend that you request two original documents from each private funding resource. You will need to send one to OIS and keep one for your visa appointment. We cannot return any financial documents that you provide to OIS. 3. All documents must be original, issued within the past six months, and are in the form of: an official bank statement (savings/checking account), current money market accounts, or current certificates of deposit. 4. All documents must clearly state the name of the account holder in English (Roman characters). If the original is in another language, a translation must be provided. It must state the exact funding amount (estimates or generalizations are not acceptable.) If you provide evidence of a deposit with a maturity date, it must state the exact date that the funds are available for withdrawal. 5. You may have multiple sources of funding, as long as you meet the total required for your program. 6. If you are issued a DS-2019 (see notes below), we will only issue the document for the duration of funding.
    Type of Resource/Funding Documents Required Support Amount in U.S. $

    Personal savings account

    1a. Original letter from bank on official bank letterhead indicating account type & available funds OR 1b. Original bank statement indicating account type & available funds

    Parents and/or sponsors (Print name of each sponsor & their relationship to you, such as family member, etc.) ______________________________________________ Sponsor #1, relationship ______________________________________________ Sponsor #2, relationship UIC assistantship/fellowship

    1a. Original letter from bank on official letterhead indicating account type & available funds OR 1b. Original bank statement indicating account type & available funds

    Letter on department letterhead stating amount of funding and duration of time funding is provided Original letter, on official letterhead, from government agency indicating amount and type of financial aid Note: You will receive a DS-2019. Original letter, on official letterhead, confirming amount and type of financial aid. Note: You may receive a DS-2019. TOTAL
    $

    Home government (Please print name of agency) ______________________________________________ Other (Please specify): ______________________________________________

    I understand that withholding information requested on this Certification or giving false information may make me ineligible for admission to the University of Illinois at Chicago or subject to dismissal if admitted. I have read and understand all of the instructions and information on this Certification and certify that the statements I have made are correct and complete. Signature of student _____________________________________________ Signature of sponsor (if applicable) ________________________________ Signature of sponsor (if applicable) ________________________________ Date _____________________________________________ Date _____________________________________________ Date _____________________________________________

    Office of International Services (MC 326) SSB Suite 2160, 1200 W. Harrison, Chicago, IL, 60607-7164 Phone (312) 996-3121, fax (312)996-9432, [email protected], www.ois.uic.edu
    Rev 07/10

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