Your Name (print) Last/Surname, First dob (MM/DD/yyyy)

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Your Name (PRINT) Last/Surname, First DOB (MM/DD/YYYY) 
 
______________________________________________________________
____/____/ ______ 
INTERNATIONAL STUDENT
FINANCIAL AFFIDAVIT OF SUPPORT 
 
READ CAREFULLY: 
You are required to submit financial certification indicating you have 
documented support for the estimate of annual expenses. Costs of higher education increase each year. 
Please review the Estimated Expenses for a Single International Student.
PART A: Source(s) of Funds: 
Complete all that apply. Enter amount of assured support for the first year 
in U.S. Dollars, and provide official financial documents/letters. Such documents MUST be within (6) six 
months from the date of issuance to the date when we create your I-20. The name on the statement must 
the name of sponsor or student. These funds are expected to be available for each year of study in the U.S. 
by the student and/or sponsor. 
 
Statements accepted:
 
 
 
 
 
 

Certificates of Deposit, Fixed Deposit, Time Deposit & Term Deposit 

Checking & Savings Accounts; Scholarship Award Letters & Education Loan; 
 

Provident Funds (exact amount available for withdrawal must be clearly stated in the 
letter/statement) 

Bonds (maturity date must be clearly stated and must be before the semester start date) 
Statements not accepted:

Business Accounts
& 
Chartered Account
,

Retirement & Mortgage Accounts
, 

Insurance Policies, Solvency Certificates & Stock Market Funds 
 
Source of Funds 
 
Amount (USD) 
Supporting Evidence 
Student’s Personal Savings
$ 
Bank statement/letter on official bank
letterhead dated within last 6 months 
Family/Sponsor: Name: 
$ 
Bank statement/letter on official bank
letterhead dated within last 6 months 
Government/Private Foundation/Business 
$ 
Official Letter/bank statements (see 
above) 
Scholarships from WVSU 
$ 
Official Award Letter
Loan from 
 
$ 
Official Approval Letter 
PART C if any
$ 
Bank statement/letter on official bank
letterhead dated within last 6 months 
Total Amount (See the Expense Sheet) 
 
$ 

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Your Name (PRINT) Last/Surname, First DOB (MM/DD/YYYY) 
 
______________________________________________________________
____/____/ ______ 
 
PART B: Original signatures 
are required to certify that the information provided on this form is 
complete and accurate to the best of your knowledge. By signing this form, you are acknowledging that 
any false or misleading statements will result in an automatic denial of admission, or cancellation of 
registration following enrollment. 
Student’s Name: ______________________________________________________________________ 
(Please legibly print student’s full name) 
Signature: _________________________________ Date: ________________________ 
Sponsor’s Name: _____________________________________________________________________ 
(Please legibly print sponsor’s full name) 
Signature: _________________________________ Date: ________________________ 
Sponsor’s Relationship to Student: _______________________________________________________ 
 
PART C: 
Dependent (student’s spouse and/or child/children) Information only if you plan to bring 
them to the U.S. 
$5,000 USD financial certification is required for the first dependent, and $3,000 USD for each dependent 
thereafter. Please provide the following information for each dependent along with a clear copy of passport 
ID page.
Name Gender Relationship Country of Birth  
 
Dependent 1: ________________________________________________________________________ 
Dependent 2: ________________________________________________________________________ 
Funding guaranteed for dependent(s) in USD (if applicable) Part C Total $ _______________________ 
 
Remember: 
You must complete all application procedures, provide banks statements or scholarship 
award letters to document the amount listed, and be accepted by WVSU before the I-20 Form will be 
issued to you. 
All application materials, including financial supporting documents become the property of 
WVSU and will not be returned
.