11.07.2015 Views

F-1 Student Information Update Form - Curry College

F-1 Student Information Update Form - Curry College

F-1 Student Information Update Form - Curry College

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Dependent <strong>Information</strong> <strong>Form</strong>Complete one section for each dependent who will be joining you in the U.S. or for each dependent who you will be deletingform your SEVIS record. If you plan to change the status of more than 4 dependents please use an extra sheet of paper.Note that you will need to show financial support for each dependent that you bring. Financial support requirements are$6300 per year for a spouse and $4350 for each child.Dependent I ______________________________________________________________________________________Last (family) Name First (given) Name Middle NameCity & Country of Birth: ___________________________Country of Citizenship: _____________________________Country of Permanent Residence: __________________Gender: _______ Date of Birth (mm/dd/yyyy): ___________Relationship to student: □ Spouse □ ChildDependent 2 ______________________________________________________________________________________Last (family) Name First (given) Name Middle NameCity & Country of Birth: ___________________________Country of Citizenship: _____________________________Country of Permanent Residence: __________________Gender: _______ Date of Birth (mm/dd/yyyy): ___________Relationship to student: □ Spouse □ ChildDependent 3 ______________________________________________________________________________________Last (family) Name First (given) Name Middle NameCity & Country of Birth: ___________________________Country of Citizenship: _____________________________Country of Permanent Residence: __________________Gender: _______ Date of Birth (mm/dd/yyyy): ___________Relationship to student: □ Spouse □ ChildDependent 4 ______________________________________________________________________________________Last (family) Name First (given) Name Middle NameCity & Country of Birth: ___________________________Country of Citizenship: _____________________________Country of Permanent Residence: __________________Gender: _______ Date of Birth (mm/dd/yyyy): ___________Relationship to student: □ Spouse □ ChildI verify that the above information is correct. I hereby authorize the <strong>Curry</strong> <strong>College</strong> Designated School Official orResponsible/Alternate Responsible Official to release this information to the required United States Government agencies.______________________________<strong>Student</strong> Signature_______________Date<strong>Curry</strong> <strong>College</strong> Admission Office ● 1071 Blue Hill Avenue ● Milton, MA 02186Ph (617) 333-2210 ● Fax (617) 333-2114 ● E-mail curryadm@curry.eduwww.curry.edu

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