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Spouse Date of Birth Family or Surname Given Name Country of Birth Country of Citizenship Child Gender Female Male Affidavit of Financial Support July 2005 PLEASE COMPLETE BOTH PAGES Financial Affidavit Page 2 All applicants holding or requiring F-1 student immigration status are required to complete the following before a form I-20 will be issued. In addition appropriate documentation of financial support see Page 1 of this form will be required.

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