Revised June 2019
Student Information: Please type your name as it appears on your passport and provide a copy of your passport biographical page.
__________________________________ _____________________________________ ____________
Given Name UFID
Surname
_______________________
Date of Birth (month/day/year)
_____________________________________
Email
The information I have provided here is accurate and complete. I will not need additional financial support
from the University of Florida. If any information changes before I enroll at the university, I will notify the
UF International Center immediately. I also understand that making false or fraudulent statements within
this Certificate of Financial Responsibility could result in disciplinary action.
Applicant’s signature: _______________________________________ Date (month/day/year):________________
Sources of Financial Support. Please fill in the funding sources that apply to you. AMOUNT IN U.S. DOLLARS
$__________________
$__________________
1. University of Florida: ___________________________________________________
2. Personal and/or Family Sponsor: Financial statement is needed.
Sponsor Information:
I agree to sponsor the above named applicant for studies at the University of Florida. To the
best of my knowledge, the information provided on this form is true and accurate, and the
necessary funds are available.
Funding provided by (signature): ____________________________________ Date (month/day/year):_______________
Name or title of funding party (print): ___________________________________________________________________
Relationship of funding party to applicant: _______________________________________________________________
$__________________
$__________________
$__________________
3. Government Sponsor: Copy of the award letter is required.
__________________________________________________________________________
Name of agency
4. Scholarship: Copy of the award letter is required.
5. Other: Specify below and enclose a signed certification.
_______________________________________________________________________
Certificate of Financial Responsibility
