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Indiana University of Pennsylvania Affidavit of Financial Support

This document is an affidavit of financial support for an international student attending Indiana University of Pennsylvania (IUP). [1] It requires information about the student's financial resources to demonstrate their ability to fully pay tuition, fees, housing and other expenses. [2] The student must provide details of personal savings, income, parents' income if dependent, or sponsor's income if not self-supporting. [3] The student is asked to estimate the amount of money available from different sources for one semester of study, which is estimated to cost $6,500 not including additional costs.

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317 views1 page

Indiana University of Pennsylvania Affidavit of Financial Support

This document is an affidavit of financial support for an international student attending Indiana University of Pennsylvania (IUP). [1] It requires information about the student's financial resources to demonstrate their ability to fully pay tuition, fees, housing and other expenses. [2] The student must provide details of personal savings, income, parents' income if dependent, or sponsor's income if not self-supporting. [3] The student is asked to estimate the amount of money available from different sources for one semester of study, which is estimated to cost $6,500 not including additional costs.

Uploaded by

adani9
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

Office of International Education

920 Grant Street – B25 Delaney Hall

Indiana U
Indiana University of Pennsylvania
Indiana, PA 15705-1087 USA

IUP BANGALORE BUSINESS PROGRAM


It is necessary that IUP have adequate information regarding an international student’s financial resources. The purpose of
this Affidavit of Financial Support is to demonstrate that you, or your sponsor, are capable of full financial responsibility for
your tuition, fees, books, housing, etc., during your studies at IUP. This information will be kept confidential.
Please convert all sums to U.S. dollars.

1. Your name: Mr./Mrs./Miss ____________________________________ Birth Date: ___/___/___ Banner #: @__________


month/day/year

Affidavit o
Country of Citizenship: _____________________ Country of Birth: ___________________
2. Are you financially independent? ____________ YES (continue with question 2a) ________NO (skip to question 3)
a. What is your annual income (after taxes)? US$ ___________________
b. What is the TOTAL amount of your (student’s) personal savings? US$ ____________________
Skip to question 5
3. a. Father’s name ______________________________ Mother’s name ________________________________
b. Father’s occupation _________________________ Mother’s occupation ___________________________
c. Father’s annual income (after taxes) US$ ________ Mother’s annual income (after taxes) US$ __________
d. If you are a dependent, how many other dependents are currently attending a college or university? ___________

4. Name of your sponsor (if parent is not sponsor) ___________________________________________


a. Sponsor’s occupation ___________________________________________________________
b. Sponsor’s annual income (after taxes) US$ __________________________________________

5. How much money will you have for your one semester of study at IUP:
One semester during 2009/2010:
Personal savings US$ ___________________
*US$6,500 (fees, books, insurance,
Family US$ ___________________
housing, meals and some personal
Other (specify source)US$ ___________________ expenses)
Sponsor US$ ___________________
*additional funds required if additional
TOTAL US$ ___________________ courses/semesters are scheduled

CERTIFICATION OF APPLICANT: I hereby certify that the information given on this form is complete and accurate. If not, I
recognize the right of Indiana University of Pennsylvania to cancel y admission.
Signature of Applicant: __________________________________________________ Date: __________________

CERTIFICATION OF PARENT (IF STUDENT ANSWERED NO TO #2): I hereby certify that the information on this form is
complete and accurate.
Signature of Parent: _______________________________________________________ Date:__________________

CERTIFICATION OF SPONSOR (IF DIFFERENT FROM STUDENT AND PARENT): I hereby certify that the information
on this form is complete and accurate.

Signature of Sponsor: ___________________________________________________ Date: _________________


Address of Sponsor: _____________________________________________________________________________________

NOTE: IUP cannot be responsible in any way for dependents accompanying you to the U.S. and will not provide for dependents.

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