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Family Name First Middle Date of Birth (mo/day/year) Country of Birth Country of Citizenship

Summary: Family Name First Middle
Date of Birth (mo/day/year) Country of Birth Country of Citizenship
Email address Telephone Number Fax Number
Mailing Address
US Social Security Number or UGA Student ID number (if available)
If you are now in the US, what is your current visa status?
If not in the US, expected visa type [ ] F-1 student (I-20) [ ] J-1 exchange student (DS 2019) [ ] Other (specify)
How should your name be listed on the Form I-20/DS2019?
The University of Georgia Graduate School
Certificate of Financial Support for International Applicants
Name in fulll as it appears on the passport
Complete this form only if you will need an I-20 Certificate of Eligibility for an F-1 student visa or a DS-2019 Certificate of Eligibility for
a J-1 exchange visitor visa. While there are no restrictions on the source of funds for applicants for F-1 visas, applicants for J-1 visas must
show funds coming from specific sources (e.g., applicant's home government, international organizations or UGA). Admission cannot be
completed and travel documents will not be issued until this statement and required supporting financial documents are on file in the
Graduate Admissions Office. Please refer to the Estimated Student Budget below before preparing this certification. Answer all
questions (type or print legibly); attach original bank statements and affidavits of support from sponsor(s) or sponsoring organization(s)
and copy of passport; and return. Photocopies, faxed documents, and notarized copies are not accepted.
Source of Support in U.S. Dollars for the first year of study (documentation required; see page 2 for details)
320 E. Clayton St., Suite 400, Athens, Georgia 30602-4401


Source: Arnold, Jonathan - Nanoscale Science and Engineering Center & Department of Genetics, University of Georgia
Scott, Robert A. - Departments of Biochemistry and Molecular Biology & Chemistry, University of Georgia


Collections: Biotechnology; Chemistry