Financial Certification Form
Prospective F-1/J-1 students are required to provide proof of funding for tuition, fees, and living expenses while
pursuing a degree at Georgia Tech. OIE is not permitted to issue I-20s/DS-2019s without the proper financial
information from an international student.
Step 1) PERSONAL INFORMATION. Answer the questions 1 - 4 completely:
1. GT ID: _____________________________________ 2. Date of Birth (mm/dd/year):_________________________
3. Last/Family name: ___________________________ 4. First/Given name: _________________________________
Step 2) FINANCIAL REQUIREMENTS. Please make sure your financial documents meet the requirements and mark the
checkbox to verify that your documents meet the requirements:
All financial documents MUST
show liquid assets that can be readily converted into cash if needed
show the date of issuance and be less than 6 months old at the time the I-20 or DS-2019 is issued
be written in English, or accompanied by official translation
clearly state the currency of funds
Acceptable types of financial documents are listed in the table below. Please mark the checkbox to verify that your
documents meet the requirements.
Bank letters/statements Name of bank account holder
Total available balance (MUST BE HIGHLIGHTED)
Official letterhead and include the bank's name, address logo, and heading
Bank official's signature or stamp (NOT required for online statement)
Maturity date MUST be before the start of the semester if applicable
Loan Letters MUST show student is approved or pre-approved for the loan
MUST clearly state the total approved/pre-approved amount
Awards/ grants/scholarship/ MUST clearly state what the scholarship includes, such as tuition, fees,
employer sponsor Letters books, and insurance. If includes a stipend, it must state the dollar amount
per month or per year.
Provident Fund Statement Name of account holder
MUST clearly state the amount that can be withdrawn before the start
date of classes. Just showing a total available balance is not sufficient.
GT Graduate Assistantship Must be an official GRA/GTA offer letter from a graduate department
Employment letters
Salary statements
Credit card statements NOT ACCEPTABLE.
Real estate statements
These types of funds are not considered as liquid assets.
Life insurance statements
Stock market statements
Valuation statements
Tax return documents
Step 3) FUNDING SOURCE. Please indicate the available amount for each source of funding.
When submitting multiple bank account documents, please indicate total available balance of each bank document.
1. Personal funds
- Bank name: __________________________________ Total balance $_____________________
- Bank name: __________________________________ Total balance $_____________________
- Bank name: __________________________________ Total balance $_____________________
2. Sponsor funds (i.e. Family/relative/friend/colleague/family friend)
- Account holder’s name: _________________________ Total balance $_____________________
- Account holder’s name: _________________________ Total balance $_____________________
- Account holder’s name: _________________________ Total balance $_____________________
IMPORTANT: Verification is REQUIRED for sponsor funding. Please have your sponsor verify their sponsorship by signing
the below:
Sponsor verification: This is to certify that I (we) agree to provide the expense for the student’s education at Georgia
Institute of Technology.
- Sponsor #1’s Full Name: _____________________________ Relationship to Applicant:_____________
Signature: ______________________________________________ Date: ________________________
(mm/dd/year)
- Sponsor #2’s Full Name: _____________________________ Relationship to Applicant:_____________
Signature: ______________________________________________ Date: ________________________
(mm/dd/year)
- Sponsor #3’s Full Name: _____________________________ Relationship to Applicant:_____________
Signature: ______________________________________________ Date: ________________________
(mm/dd/year)
3. Approved or pre-approved education loan $_____________
4. Approved awards, grants or scholarships $_____________
5. Employer sponsorship $_____________
6. Government sponsorship $_____________
7. Graduate Assistantship (GTA/GRA) $_____________
Total amount of funding: $________________
Step 4) APPLICANT VERIFICATION. Please sign the form.
I certify that I have read the information above and truthfully arranged the readily available funds for one year of
academic tuition, fees and living expenses (including funds for my dependents if applicable).
Student’s signature: ___________________________________ Date: ___________________
(mm/dd/year)
