International Student Certification of Finances
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The space below is for optional use by issuing institutions for listing student¡¯s expected annual budget.
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18. A CERTIFICATE OF ELIGIBILITY (Form I-20 or DS-2019) will not be authorized until this form is completed and returned to the institution to which you are applying. The institution will attach a copy of this form to your CERTIFICATE OF ELIGIBILITY. Both the form and certificate must be shown to the U.S. Consul to obtain a visa. I certify that the information on this form is true, correct, and complete. I understand that any misrepresentation may be cause for refusing or revoking admission.
SIGNATURE OF STUDENT __________________________________________DATE ____________FOR OFFICE USE ONLY
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This is to certify that I have reviewed the declaration and attached documents, if appropriate, and approve issuance of a Certificate of Eligibility.
SIGNATURE OF
COLLEGE OFFICIAL __________________________________________________________ TITLE ___________________________________________
NAME OF INSTITUTION ________________________________________________________________________________________________________
ADDRESS_____________________________________________________________________________ DATE __________________________________
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STUDENT¡¯S SOURCES OF FUNDS
ASSURED SUPPORT PROJECTED SUPPORT
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