1
Office of Immigration
Meisler Hall 2200 390 Alumni Circle
Mobile, AL 36688-0002
Phone: 251.460.6050
E-mail: immigration@southalabama.edu
F-1 Student Application for I-20 Issuance
SECTION 1: F-1 DEMOGRAPHIC INFORMATION (TYPE OR PRINT CLEARLY)
NAME AND RESIDENCE INFORMATION:
Full Name (as listed in passport): ______________________________________________________________________________________________
Family/ Last Name (Surname) Given Name (First) Middle Name (if any)
Date of Birth (month/ day/ year): ________________________________________ Gender : Male Female
(month/day/year - i.e. March 27, 1975)
Place of Birth (required): _________________________ __________________________
City Country
Citizenship & Residence (required): ____________________________________ ___________________________________
Country of Citizenship Country of Legal Permanent Residence
Permanent Address in Home Country (not school address):
____________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Phone Number: _________________________________ E-Mail Address: _________________________________________________
VISA HISTORY:
If currently in the U.S., what is your immigration status? ______________ Expiration Date (Month/Day/Year): ____________________
NOTE: If currently in F-1 Status and transferring to the University of South Alabama, please also complete F-1 Transfer-In Form.
REQUIRED DOCUMENTATION TO BE SUBMITTED WITH THIS FORM
Copy/Scan of Passport Identification Pages (For yourself and any accompanying dependents)
Copy/Scan of Proof of Financial Support, Bank Statement, and/or Affidavit of Support
IF CURRENTLY IN THE UNITED STATES, ALSO INCLUDE THE FOLLOWING:
Copy/Scan of current/ most recent visa stamp, I-94 Arrival Page, and any current/previous DS-2019s, I-20s, I-797 Approval Notices
(For yourself and any accompanying dependents)
I certify that the above information is correct and complete, and that I shall notify the University of any changes in my personal
information and/or exchange plans.
Signature: __________________________________________________ Date: ____________________________
Jag ID#: J _________________________________
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