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STUDENT VISA CHECKLIST - SU Abroad

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18. Residence in a country other than the country of current nationality = If you are a US citizen,but your permanent address is in another country, OR if you are a non-US citizen and yourpermanent address is in a country different from your national passport (ex: non-US citizenliving in the US with a Greencard).19. Current Occupation = Student (even if you work while in school)20. Main purpose of the journey = Study21. Intended date of arrival in SpainEurovision = 11 January 2013Mare Nostrum = 12 January 2013Azahar = 13 January 2013Imperium = 13 January 201322. Number of Entries requested = Multiple Entries23. Applicant’s Address in Spain = Calle Miguel Angel 8, 28010 Madrid, Spain24. LEAVE ALL BOXES BLANK25. LEAVE ALL BOXES BLANK26. Data of the educational establishment or research centre in case of applying for a student orResearch visaName of educational establishment = Instituto InternacionalAddress of the educational establishment = Calle Miguel Angel 8, 28010 Madrid SpainTelephone of the educational establishment = 34. 91. 319. 9942Email address of the educational establishment = drkuehl@syr.eduIntended start date of studies = Eurovision: 11 January 2013Mare Nostrum: 12 January 2013Azahar: 13 January 2013Imperium: 13 January 2013Intended date of end of studies = ALL OPTION I <strong>STUDENT</strong>S = 15 May 2013ALL OPTION II <strong>STUDENT</strong>S = 19 May 2013LEAVE ALL OTHER BOXES BLANK27. Place and Date = Where (the city) and when (the date) you completed this form. The locationMUST correspond to the Consulate’s jurisdiction. Since you are applying through theSpanish Consulate in San Francisco, the place must be within AK, Northern CA, HI, ID, MT,NV, OR, WA or WY28. Signature (DO NOT FORGET!)

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