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A copy of both sides of your I-94 Form Arrival and Departure Record , (a small white card inside your passport), copy of your U.S. VISA from your passport, and 1-20 or DS2019 or 1797A must be attached to this form. This form must be returned before any check can be issued by the Accounts Payable Department and must also be completed by anyone receiving tuition remission/scholarship. (1)Last or Family Name: First: Middle:.

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