SU International Supplement (1) Maqbool

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APPLICATION FOR ADMISSION

SUPPLEMENTAL APPLICATION FOR


INTERNATIONAL STUDENTS

Rev. 04.09.12
PLEASE CHECK THE BOX THAT CORRESPONDS WITH THE
SOUTH UNIVERSITY CAMPUS YOU PLAN TO ATTEND

 SOUTH UNIVERSITY, AUSTIN

 SOUTH UNIVERSITY, COLUMBIA

 SOUTH UNIVERSITY, MONTGOMERY

 SOUTH UNIVERSITY, RICHMOND

 SOUTH UNIVERSITY, SAVANNAH

 SOUTH UNIVERSITY, TAMPA

 SOUTH UNIVERSITY, VIRGINIA BEACH

 SOUTH UNIVERSITY, WEST PALM BEACH

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SUPPLEMENTAL APPLICATION FOR INTERNATIONAL STUDENTS
The application for Admission for International Students is used to determine language proficiency, financial support, and other matters relevant to
eligibility for F-1 international student visa status. The standard application is used to determine eligibility for admission into the programs of South
University. International applicants are required to submit both.

COMPLETE THE APPLICATION USING ENGLISH. PLEASE TYPE OR PRINT.

PERSONAL INFORMATION
Enter your exact legal name as it appears (or will appear) on your passport:

Maqbool Ahmed
Family/Surname First Middle

Address (your Form I-20 will be sent to this address):


8-1-402/156/A, OPPO- Madina Masjid, Shaikpet,Tolichowki
Number and street

Hyderabad Telengana 500008 India


City Province/State Mail/Zip Code Country

India 11/20/2002 +917093494342


Country of Birth Date of Birth (MM/DD/YYYY) Contact Phone # (May be in your home country.)

List your country of citizenship: India


Is English your primary language?  yes  no

If English is not your primary language, indicate your primary language:


Urdu

CHECKLIST FOR INTERNATIONAL STUDENT APPLICANTS:

1) Standard Application for Admission and all Supporting Documents


2) Supplemental Application for International Students
3) Certified English translations of any document required for admission (transcripts, diplomas)
4) Certification of Finances (and International Student Financial Sponsorship, if applicable)
5) Evidence of English Language Proficiency
6) International Transfer Clearance Form (if presently in the U.S.)
See Catalog for Additional Information and ask to speak with an International Student Advisor if you have any further questions.

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IMMIGRATION INFORMATION (if current present in the U.S.)
Only applicants applying from inside the United States are required to complete this section.

VISA Information
Date of entry:___________________________________

Type of visa at entry:_____________________________

Type of visa now held:____________________________

What institution issued the I-20 or DS-2019 used to enter the U.S.?___________________

Are you currently enrolled in school?  yes*  no


*If yes, name school:______________________________________________________________________
A Transfer Clearance Form must be submitted to transfer from another U.S. institution of higher education.

FAMILY INFORMATION

Will any dependent family members accompany you to the U.S.?  yes  no*
*If no, proceed to International Student Financial Sponsorship Form.

Spouse’s complete Name: Date of Birth (MM/DD/YYYY)

Country of Birth:___________________ Country of Citizenship: ____________  Male  Female

Child’s Name: _____________________________ Country of Citizenship: ___________________


Date of Birth (MM/DD/YYYY):__________  Male  Female

Child Name:___________________________________ Country of Citizenship:____________________


Date of Birth (MM/DD/YYYY):__________  Male  Female

Child Name:___________________________________ Country of Citizenship:____________________


Date of Birth (MM/DD/YYYY):__________  Male  Female

I certify that the information in this Application is complete and accurate to the best of my knowledge.

Family/Surname First Middle

Signature

CREDENTIAL EVALUATORS
All foreign credentials must be evaluated as “Course by Course” by an AICE or NACES-member credential evaluation service.
Additionally, if the transcript is not in English, it must also be translated. Though South University does not recommend or promote
any specific evaluating service, a few organizations that our institution has used in the past are listed below for your reference. You
are welcome to shop for this service and find the one that provides you with the best service for your needs.

List of NACES members- http://www.naces.org/members.htm


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INTERNATIONAL STUDENT FINANCIAL CERTIFICATION AND SPONSORSHIP FORM
Please complete this form in its entirety. Failure to complete all sections of the form will result in the form being returned to you and will delay the
receipt of any documents required to apply for your student visa. Important: International students must present valid evidence of adequate funds to
meet all living expenses and all financial obligations to South University for the first academic year of study.

Ahmed
Family Name (last name): _________________________ Maqbool
Given name (first name):_______________________
____________________________________________________________________________________________

Source of Funding (please list exact amounts)


Your own funds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . US$________________________
(You must submit supporting bank documentation)
Meraj Ahmed
Your own funds (parent, relative) . . . . . . . . . Name______________________ 61,331.13
US$________________________
(Sponsor must submit supporting documentation)

Additional Funds . . . . . . . . . . . . . . . . . . . . Source______________________ US$________________________


(Supporting documentation required)
61,331.13
Total Amount of Available Funds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . US$________________________
(Total amount should be equal to or greater than amount listed for your program on enclosed financial information sheet)

Financial Certification of Sponsor


Meraj Ahmed
Name of Sponsor: _________________________________________________________________________
8-1-402/156/A OPP- Madina Masjid, Shaikpet, Tolichowki, Hyderabad, 500008
Address of Sponsor:________________________________________________________________________
Father
Student’s Relationship to Sponsor (e.g., parent, friend, relative)__________________________________________

Program Cost

Actual school costs can be found in the Enrollment Agreement along with in the Gainful Employment section of our website.
Please discuss the current costs along with ways to meet those costs with our Financial Aid staff.

Sponsor’s Guarantee (To be completed by sponsor)


Meraj Ahmed
I, ________________________________, 61,331.13
guarantee the sum of (US dollars) $________________ will be available for
(Sponsor’s name)
Maqbool Ahmed
____________________________ for the first academic year at South University. A comparable sum of money will
(Student’s name)
1.5
be available for _______________ years.

22-11-2024
Signature of Sponsor ______________________________________ Date ________________

Signature of Applicant
I fully understand the minimum amount of money necessary for tuition, books, supplies, and living expenses to attend South University. I verify that the mini-
mum amount as listed on this international student financial information form will be available per academic year for my studies. I also understand that I must
obtain and maintain health insurance coverage for the full duration of study at South University. I certify that the information provided on this form is true and
correct.
22-11-2024
Signature of Applicant____________________________________ Date_______________________________________________

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APPLICATION FOR FORM I-20

Maqbool Ahmed
Applicant Name: ____________________________________________________________________________
Family/Surname First Middle American Nick Name
I-20 will be issued in the
name listed on the passport
11/20/2002
Date of Birth (MM/DD/YYYY): ________________________

India
Country of Birth: _____________________________ Indian
Country of Citizenship: _______________________________

Bachelor of Business Management


Academic degree program and level (i.e. Associates, Bachelors, etc.):__________________________________________

01/11/2025
Anticipated Start Date (MM/DD/YYYY):___________________________________

Address in home country:


8-1-402/156/A,opp- Madina masjid, Shaikpet,Tolichowki,Hyderabad-500008
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
+917093494342
Telephone Number in home country: _________________________________
+918801872687
Local Telephone Number: __________________________________ (if available)

Local Address:
8-1-402/156/A,opp- Madina masjid, Shaikpet, Tolichowki, Hyderabad-500008
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
[email protected]
Email Address: ___________________________________________

Name, Date of Birth & Relation of all F-2 Dependants traveling with you:
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________

Applicant Signature:__________________________________
11-22-2024
Date:_____________________________________________

EMERGENCY CONTACT

Masroor Ahmed
Applicant Name: ____________________________________________________________________________
Name
[email protected]
Email Address: ___________________________________ +918801872687
Phone Number: _______________________________
This is the person you prefer we contact in the case of an emergency.
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INTERNATIONAL STUDENT TRANSFER CLEARANCE FORM
*To be completed only if you are residing in the US on an F-1 Visa *

Current immigration regulations regarding transfer of student in F-1 status require that the designated school official of
the new school verify that the student was maintaining immigration status at the institute which the student was last
authorized to attend. The regulations also require the student to notify the Designated School Official at the previous
school of his/her intention to transfer.

TO BE COMPLETED BY THE STUDENT

Name________________________________________________________________________________
Family/Surname First Middle

Are you planning to leave the U.S. before you transfer to South University?  yes  no

Student ID Number________________________

Last semester attended_____________________at previous institution

Address______________________________________________________________________________
______________________________________________ Phone_________________________________
City State Zip code

I grant permission for the information requested below to be released to South University. It is my intention to transfer to
South University.

Signature_____________________________________ Date_____________________________________

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THIRD PARTY AUTHORIZATION FORM
I,_____________________________________ acknowledge that__________________________________
Cardholder Student
is attending South University, and hereby provide authorization to charge my credit card for the following amount:

$_____________ or As Per the Financial Plan 

 Monthly  Quarterly  One Time

Type of credit card: ________________________________

Credit card account number: __________________________ ______

Expiration date of card: __________________________ ______

Full name as listed on card: __________________________ ______

Relationship to student: __________________________ ______

Dated at __________________ this _______ day of __________________


Place of signing Month/Year

Signature of cardholder:_________________________________________

FOR OFFICE USE ONLY:

Signature of employee processing transaction:______________________


Student number:_____________________

Please fax completed form to your respective campus.


Attention: Student Accounting Office

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F-1 TRANSFER CLEARANCE FORM
Please take this form to the international student advisor at your current school to complete.

Admission Number (I-94 #)________________________________

Is the student on a SEVIS Form I-20?  yes  no

If yes, what is the transfer release date? _______________

(Please check all that apply)


The above named student
 is currently enrolled full-time at this school with ____ credits.
Start date______________and projected last date of attendance_____________________________________
 is enrolled less than full-time at this school because ___________________________________________
 completed a program of study at this school on (date)___________________________________________
 did not complete a program of study. Last known date of attendance was_____________________________
 is eligible to continue  yes  no

If no, explain__________________________________________________________________________________

To the best of my knowledge the above named student is:


 in status with respect to US DHS regulations
 not in status with respect to US DHS regulations because_____________________________________

Has the student filed for reinstatement?  yes  no


Has the student met all financial obligations to your institution?  yes  no
Please indicate authorized periods of
Special Student Relief______________________________
Economic Hardship__________________________________
Curricular Practical Training___________________________
Optional Practical Training____________________________
Has this student taken any time away from school, including annual vacation periods?  yes  no
If yes, please list the dates of this most recent time away from school__________________
Additional comments: ___________________________________________________________________________

__________________________________________________________________________________________

Signature of International Student Advisor: __________________________________________Date:_______________

Name & Title: _________________________________________________________________________________

Institution: ___________________________________________________________________________________

Address:____________________________________________________________________________________

Phone: _____________________________________E-mail:___________________________________________

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CAMPUS CONTACT INFORMATION South University, Richmond
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1220 West Louis Henna Boulevard 804.727.6800
Round Rock, TX 78681 888.422.5076
877.659.5708 Fax: 804.727.6790
Fax: 512.516.8689
South University, Savannah
South University, Columbia 709 Mall Boulevard
9 Science Court Savannah, GA 31406
Columbia, SC 29203 912.201.8000
803.799.9082 866.629.2901
866.629.3031 Fax: 912.201.8070
Fax: 803.935.4382
South University, Tampa
South University, Montgomery 4401 North Himes Avenue, Suite 175
5355 Vaughn Road Tampa, FL 33614
Montgomery, AL 36116 813.393.3800
334.395.8800 800.846.1472
866.629.2962 Fax: 813.393.3814
Fax: 334.395.8859
South University, Virginia Beach
301 Bendix Road, Suite 100
Virginia Beach, VA 23452
757.493.6900
877.206.1845
Fax: 757.493.6990

South University, West Palm Beach


University Centre
9801 Belvedere Road
Royal Palm Beach, FL 33411
561.273.6500
866.629.2902
Fax: 561.273.6420

www.southuniversity.edu

© 2015 by South UniversitySM 12/17/15


Rev. 04.09.12

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