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Get J-1 Student Notice Of Departure Form (PDF) - Office For International ...

E: PID #: A/Z SEVIS ID #: N E-mail: Alternate E-mail: FUTURE PLANS (please check appropriate item): Departing the U.S. and ending current J-1 program. End date of program at MSU: / / Date of departure from the U.S.: / / Note: If your departure date is more than 30 days in advance of the program end date on your DS-2019, we will create a new DS-2019 for you with your actual end date. It is important that you have official documentation of your actual program date.

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