Application for Visa Certificate (I-20/DS-2019) for International Graduate Students 2014-2015

To be issued a Visa Certificate (I-20 for F-1 students or DS-2019 for J-1 students), which is required for you to apply for an F-1 or J-1 student visa at a U.S. Embassy or Consulate abroad, you must complete all sections of this form and provide documentation of at least the minimum expenses required for study at Princeton University (see box below). Lack of documentation or incomplete information will delay the issuance of your I-20 or DS-2019. All information that you provide will be kept confidential.

INSTRUCTIONS | (it is preferred to receive documents via email)(1) Please complete this form in its entirety, save & send with following documents (as attachments) to puvisa@princeton.edu by May 1

(a) Please use in subject line of Email: "YOUR LAST NAME_Your First Name | New AVC" (2) Attach All Required Financial Documentation Demonstrating Funding Noted in Chart Below(3) Attach Copy of the Biographical Page of your & any joining dependent(s)' Passport(s) (if available) (4) Transfer-In Form (if applicable)(5) DS-2019 Request Form (if applicable)Alternatively you can mail these documents to: Davis International Center, Princeton University, Princeton, NJ 08544

SECTION I | PERSONAL INFORMATION Please complete. Your name must be consistent on all immigration documents to avoid problems at the U.S. Embassy/Consulateand/or upon your arrival in the U.S.

Name (as in passport):

Family/Last name(s) Given/First Name(s) Middle Name (if applicable)

Date of Birth (mm/dd/yyyy) City & Country of Birth Country of Citizenship

Country of Legal Permanent Residence Please check one: Male Female Email:

Most recent employment in your home country (if student, indicate undergraduate or graduate):

SECTION III | FAMILY/DEPENDENT(s) INFORMATION (Only complete if family/dependents will be joining you during your studies)

Family Name(s) First Name(s)Date of Birth

MM/DD/YYYYCity and Country of

BirthCountry ofCitizenship

Country of Legal Permanent Residence

Relationship toStudent

Davis International Center, Princeton University, Princeton, NJ 08544 www.princeton.edu/intlctr

www.facebook.com/davisintlctr

SECTION II | PERMANENT FOREIGN ADDRESS You must provide a permanent (residential) address in your country of citizenship or country of permanent residency. This must be anon-U.S. address. Please note that this address must be your residential address, not a P.O. Box or a school address.

House Number and Street Apt. # (if any) City Province/State Country Postal Code (if any)

Graduate Student Expenses for the 2014-2015 Academic Year NOTE: PhD students are required to document funding for 12 months 12 Months 10 Months

Tuition & FeesLiving ExpensesTotal (Tuition, Fees & Living Expenses)Expenses for a spouse (add to the total only if applicable)Expenses for 1st dependent child (add to the total only if applicable)Expenses for subsequent child(ren) (add to the total only if applicable)

$43,720 $43,720$27,450 $22,875$71,170 $66,595$13,800 $11,500$10,050 $8,375$5,200 $4,333

SECTION VII | REQUIRED EXPRESS MAIL ARRANGEMENT To receive your I-20/DS-2019, you MUST make arrangements for express mail through https://study.eshipglobal.com/ Go to this link to create your profile and request service. You will receive two e-mails from eShipGlobal, one when you create the shipment and a second when your document has been sent. Please note that there will most likely be a delay between the time you request eShipGlobal and when we mail your I-20/DS-2019. I-20/DS-2019s will not begin to be processed until May. Due to the volume of applications we receive, we are not able to confirm the receipt of each individual request for eShip Global.

SECTION VIII | STUDENT STATEMENT By submitting this form, I hereby certify that the information on this form is complete and accurate to the best of my knowledge. I also understand that, in order to receive my I-20 or DS- 2019, I must make arrangements for express mail through eShip Global at https://study.eshipglobal.com

Davis International Center, Princeton University, Princeton, NJ 08544 www.princeton.edu/intlctr

www.facebook.com/davisintlctr

SECTION VI | SOURCE AND AMOUNT OF FUNDING Please complete the appropriate sections below and attach required documentation. All financial documents be copies of originals or originals themselves. Documents must be dated within six (6) months of the date of initial enrollment at Princeton University. Amounts must be in U.S. dollars and must equal or exceed the minimum amount of funds required as listed on the first page. If bank statements are not in English, a translation must be provided. Funds must be liquid assets and available for support. The Davis IC may request original documents if determined it is necessary.

Enter Source of Funding(where applicable)

Provide Required Documentation

Copy of your Admission Reply

Form

Copy of Official Bank Statement/Record with

Applicant's Name Indicated on the document

Copy of Official Bank Statement/Record with

Family Member/Relative's Name

Copy Official Letter of from the

government or sponsoring agency

Enter Amount of Funds $ $ $ $

Princeton University Personal Funding Enter Name of Family Provider Enter Name of Third-Party

SECTION V | J-1 REQUESTUnless indicated below, all students are issued an I-20 for F-1 Student status while pursuing their programs at Princeton. However some students may be eligible to participate in the J-1 Exchange Visitor program. Please read thoroughly the details pertaining to the J-1 Exchange Visitor program and if you meet the criteria for participation.

By checking this box, I request a DS-2019 for J-1 student status, if not checked I will receive an I-20 for the F-1 Student Visa; and

have read & understand the U.S. Department of State's Participant Guide: http://j1visa.state.gov/participants/ have attached the required DS-2019 Request Form: www.princeton.edu/intlctr/graduate/grad-docs/DS-2019-Student-request-form.pdf

have read & understand the information at: www.princeton.edu/intlctr/graduate/for-j-1-students/ (all sections); and

I am currently in the U.S. in a status other than F-1 or J-1 and will request a change of status to either F-1 or J-1 from USCIS(a) Please indicate current status NOTE: If you are currently on an F-2 dependent visa, you must apply and be approved for a change of status to F-1 prior to enrolling in courses at Princeton

SECTION IV | CURRENT U.S. IMMIGRATION

I am currently in the U.S. or outside the U.S. with active F-1 or J-1 SEVIS record, in which I plan to transfer to Princeton University(a) Complete Transfer Form with Current School's International Student Advisor: www.princeton.edu/intlctr/davis-ic-home/immigration/transfer/ NOTE: If you decide NOT to transfer your record, you will need to depart the U.S., pay the SEVIS fee and apply for a new F-1 or J-1 visa before returning to the U.S.