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Affidavit of Financial Resources
For Issuance of Form I-20 or DS-2019
Each individual contributing financially to the named student’s education must complete the Affidavit of Financial
Resources and submit an official dated bank statement. In case of jointly held accounts, each individual holder must
complete an affidavit of financial resources. Please indicate student’s name on all financial documents.

Name of Student ___________________________________________________________
Last
First

____________________
UMID

PART 1: Please write clearly
Name of Sponsor (please print): _____________________________________________________________________
Relationship to student: ___________________________________________________________________________
Sponsor contact information:
Mailing Address __________________________________________________________________________________
Telephone _____________________

Fax ___________________________

Email ________________________

I/We guarantee to p