INDIANA WESLEYAN UNIVERSITY
National & Global
Office for International Students
859.372.8791
[email protected] Financial Affidavit for F-1 Students
Madhava reddy challa 17/05/2000
StudentName: Dateof Birth:
[email protected]EmailAddress: StudentID:
A. Se/ecf tñe reason for submitting the Ftnenalat Afl'ldevlt. F-1 students must provide ev/dence of financial support Ibrzme Annie year
In arder fa ieoeive tfie types of I-20’s /isfed below.
R u ti 20 Update Current 1-20:
To enter the US: Add/Update dependent information
(complete the Financial Affidavit for F-2 Dependents sections)
OSeIf O With Dependents (complete the Financial
¥ Transfer in to IWU from another US institution To Update Financial Information on 1-20
apply for a Change of Status to F-1 Status Change of Level Request
To apply for Reinstatement to F-1 Status Program Extension Request
. 4szow¥c • •=•••=mi 8E¥mc«Er sn f•-z^r£u •rr•--• T• •-—• e ra t•’/- -
certify tnat me amourx or tunas indicated In the DfiDk G6Ftitication section on mla form, or in any submittea financial statements or
etters, are available fog my academic study. Additionally, I have sufiicient funding to support each year of my education at IWU,
ncluding funds for my spouse and children, if sj:›pI'cable.
09/23/2023
Student Signature: Date:
fi. tfrs coumu n' v•ur 'frinnc •f aunoort frs cut elf !fist one rl
Self. Submit financial documents which list your name as the account holder.
Sponsors. Submit financial documents which list account holder(s) ae your spouse, parents, family or other individuals.
IWU Scholarship or Financial Award. Submit a copy of your award letter
A Business or Government. Submit letter on letterhead.
Other. Please indicate your source of funding:
D. Bponaor P/ncncfef Cardf?ceUon (only zaqulmd Ifyau have aponsora}. jg§/, namad account holders muet sign ana certify rhe iwu
Ffinanalel Alfldsvll. It you tiave more lhanttiiee sponsors, pleaae Inntude anotfierpage one of the financial e//7davif wff/i the add8/onal
Sponsor 51 Name:
Sponsor Signature: Date:
Sponsor #2 Name: _ _
Sponsor Signature: Date:
Sponsor #3 Name:
Sponsor Signature: Date:
IWU-N&G International Students/FinAff/Updated 080818
/ aorfdy hat dte etndentor’,the e/X›nsordamadoo thlñ Iâ c¥B sttie ft/o
purpose In ftie Untted filatea enddoeo riot.fiald ltie bank - .
State Bank of India
Nudurupadu Village,
Phirgapuram Mandal,
AP 522529.
"9271
8 31717
Manager
Bsnk Offlalal'a 8lgnatufzs:
F. yizzancIaI respons/tiff/fy Estimated Expenses Provided by Bppfor International Students
You must provide financial ce/Y/ffcafion of'tfie provided minimum amounts as a part offfie 1-20 request process. 7Aese esfimafes are su6jecf fo
change without prior notiae; the exact aosts of attendance will va/y by sfudenf and will de defe/mined at fhe point of aourse /egisfrafion. '''''or
dependents: You will need to add $5000 for your spouse and 53000 /br eech child.
I ! : This sectionis milk required it you have dependents coming to or remaining in the TLS.
Add or Maintain Dependent(s) to F-1 Record
Sfu¢fent Ceztif?caf/on (Handwritten signature required). By signing below, I request the election/maintenance of the F-2 SEVIS records
for my spouse and/or child. I understand that dependents in F-2 sfafus are permitted fa stay in the United Slates only to the extent that the F-1
student is authorized to stay. F-2 spouses may not work and may only engage in part time study, and F-2 children may only engage in full lime
sfudy in elementary or secondary school.
Student Signature: Date:
Remove Dependent(s) from F-1 Record
Student fieitificallon (handwritten signature required). I cerfi/y that by signing below, I request that my dependent(s) SEVIS recoid(s) be
terminated. I understand that tfie /-20 my dependent floods is no longer va/id for purposes of enfe/ing or remaining in f/ie LI.S.
Student Signature: Date:
H. This ;aeetIaa let:aaty.zg§fiI(edT„}$grefi wedding or removing your dependents from your SEV’/S
zeoord; Meant their intonation
Add or Date of Birth Country Country of
Relatlonshlp Gender Famlly Name/Surname Given Name
Remove (mm/dd/yyyy) of Birth Citizenship
Add O Spouse Male
@ Remove Child @ Female
O Add @ Male
@ Child
@ Remove O Female
Add @ Male
O Child
Remove @ Female
O Add Male
@ Remove ,
IWU-N&G International Students/Fktg{f/I,jpd be
