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5 Transfer Form

The document is a transfer form completed by a student named Bich Nguyen, requesting the transfer of their educational records to Chattahoochee Technical College. It includes personal information, current school details, and confirms the student's status with USCIS. The form requires signatures from both the student and the Designated School Official (DSO) from the current institution.

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nguyenthingocbich0666
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20 views1 page

5 Transfer Form

The document is a transfer form completed by a student named Bich Nguyen, requesting the transfer of their educational records to Chattahoochee Technical College. It includes personal information, current school details, and confirms the student's status with USCIS. The form requires signatures from both the student and the Designated School Official (DSO) from the current institution.

Uploaded by

nguyenthingocbich0666
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

TRANSFER FORM

TO BE COMPLETED BY THE STUDENT

Bich Nguyen
Name: __________________________________ 01 10 2006 Student ID# 900______________
DOB: ______/______/______

2896 Stilesboro Ridge Way Nw Kennesaw, Ga 30152


Current Address: ____________________________________________________________________________________

Telephone: _______________________________
4044213179 Email: ________________________________________________
nguyenthingocbich0666@[Link]

I give permission for my present school to release the information requested on this form.

Signature _________________________________________
Bich 04/15/2025
Date___________________

TO BE COMPLETED BY THE INTERNATIONAL STUDENT ADVISOR

N0036124427
SEVIS ID#: _____________________________________

Georgia State University


Name of Institution in which student is currently enrolled: __________________________________________________

Spring 2025
What was the last term the student attended? _______________

Is the student currently “in status” with USCIS? ______


yes

*NOTE: Chattahoochee Tech currently does not accept students in TERMINATED status!

Please, do not transfer I-20 until the student submits an Acceptance Letter from International Services of CTC.

Transfer Release Date in SEVIS: _______________

Transfer the student’s record to the main CTC campus (Marietta) using the following campus code: ATL214F00446000

Name of DSO (Print): _______________________________________ Title/Position: _____________________________

Email: ________________________________________________ Telephone: ______________________________

DSO Signature: ____________________________________________ Date: ________________________________

Institution Address: __________________________________________________________________________________

Return to: InternationalServices@[Link] or [Link]@[Link]


Telephone: (770) 528-4403

A Unit of the Technical College System of Georgia. Equal Opportunity Institution.


Revised: 03/06/2023

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