Affidavit of Support

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Affidavit of Support

Sponsors of students planning to attend Internexus Indiana should complete this form.

The student you are sponsoring has requested that Internexus Indiana issue an I-20 Certificate of Eligibility in order to obtain their student visa. Before Internexus Indiana can issue their I-20, the student must provide proof of financial responsibility.
With this statement of support, the sponsor assumes the student’s financial responsibility during their stays as a Student at Internexus Indiana.

In addition to this form, sponsors must also send a bank statement that is dated within the last 90 days (3 months) showing sufficient funds to cover the student’s schooling and other expenses to Internexus Indiana. The financial statement must have the name of the account holder and the name of the bank.

Sponsor Contact Information

Name of Sponsor

Occupation

Sponsor Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Sponsor Telephone

Sponsor Email

SSN (if applicable)

Relationship to Applicant

Guideline: Check the box (below) for the semester you are willing to provide fundings to support the student financially. Currently, the estimated costs for living expenses, tuition, and fees are $5100 per semester and if the student has dependents, they must provide an additional of $750 per dependent per semester.

Select one of the options below:

Financial responsibility

Student Information

Student Name

Student Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Student Telephone

Student Email

I have submitted proof of financial support to cover this student’s costs.
By signing this document, you agree, by penalty, to pay for the student expenses listed above and their dependents (if applicable). I hereby declare that all information above is correct and authentic.

Banking Statement

Click or drag files to this area to upload. You can upload up to 4 files.

Tuition $ Student

Sponsor ID

Click or drag a file to this area to upload.

Sponsor's Electronic Signature

Clear Signature

2451 N Meridian St

+1 (317) 493-1093

Affidavit of Support

Affidavit of Support

Student Information

Our history

Contact

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