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Financial Form 11

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2011 INTERNATIONAL APPLICANT FINANCIAL FORM – STANDARD GRADUATE

All international applicants must document their ability to meet all educational and living expenses for the entire period
of their intended study before this university can issue a Certificate of Visa Eligibility (Form I-20 or DS-2019). Read the
following instructions carefully before completing and submitting this form.

Instructions: Part I Answer questions 1–7 completely.


Part II Indicate the sources of your funding, the amounts available, and the totals for each year,
and have the sponsors verify these amounts by signing this form. Include supplementary
documentation as indicated below.

Each applicant must document financial support equal to or greater than the amounts indicated below.
These figures are estimated costs and are subject to increase without notice.

Estimated Budget for International Graduate Students (Standard Programs)


Tuition1 $13,780
Fees (including health insurance)2 $3,103
Room and board3 $11,701
Total (per year of study) $28,584
1
Tuition indicated is for the academic year (September–May) only. Summer session tuition & fees for graduates is $715 per credit hour.
2
Fees and health insurance are listed for the full year.
3
This includes housing and food costs for nine months. The university estimates that students will need an additional $1,500 for books
and supplies, and $2,000 for personal expenses and incidental costs.

Dependent Support
A student wishing to have his or her spouse or children accompany him or her must document the following amounts for
each family member per academic year of intended study (Master’s: two years; Doctoral: four to five years).

For spouse: $6,200 per academic year


For each child: $4,200 per academic year

Source of Funds Required Documentation (All documents must be original.)


Personal/Family Savings: Signatures of sponsors on this form. Bank verification in a separate statement
of account documenting that at least $28,584 is available in liquid assets;
salary statements, accountant summaries and property cannot be used.

Scholarship: Official scholarship award letter from the institution awarding the scholarship.
The award letter must contain the name of the applicant, the amount of money
available for each year of study, the duration of the award (including
beginning and ending dates), the degree and major field of study for which the
award is tenable, and the name of University at Buffalo as the institution to
which the award is applicable.

Government or Employer: Official letter indicating amount of support and containing the same
information as for “Scholarship” described above.

Loans: Official letter from credit institution indicating approval of the loan and the
amount approved.

 Bank statements carry no liability on the part of the bank.


 All documentation must be dated within one year of the date of initial enrollment at the University at Buffalo and
translated into U.S. dollars.
 This information is required for visa eligibility determination only.
 The University at Buffalo reserves the right to require additional financial documentation from applicants whose
countries impose currency exchange restrictions or other obstacles to the transfer of currency. Applicants from such
countries will be notified of specific requirements when they have submitted completed applications.
Graduate (Standard) International Financial Form – 2011
Please print in ink or type.
PART I
Important Note: Print your name exactly as it appears in your passport. If your passport lists no Surname or no Given Name, write a dash
(―). In order to issue your I-20, we must have a copy of your passport biographical page; please send or fax this to the address below.

1. Name of applicant _________________________ _________________________ ______________________


Family/Surname First/Given name Middle

2. Major _______________________________________________ 3. Birthdate ___ ___ / ___ ___ / ___ ___


Month Day Year

4. Country of birth __________________________ 5. Country of citizenship _______________________________

6. E-mail address (print neatly in block letters): _________________________________________________________

7. … I plan to come without dependents (spouse/children).


… I plan to come with dependents. The following dependents (spouse/children) will accompany me:

Family/Given Name Date of Birth Country of Birth Country of Citizenship Relationship to Applicant

PART II
Applicants are responsible for all costs of attending the university (1-2 years for Master’s; 4–5 years for Doctoral students).
University costs are subject to change and increase an average of 5 percent annually. You and your sponsor must sign
verification statements A. and B. at the bottom of this page indicating that you are responsible for all costs. Tick the appropriate
statements below indicating where your first year of funding will come from (multiple sources are acceptable). Attach the
appropriate financial documentation showing availability of one year’s funding.

Source of Funds
Tick (9) the boxes showing where your first year of funding will come from and indicate the amount that will come from
that source. The total must amount to at least $28,584.

Source: Amount:
… I will pay from my own personal account. $__________________
… My family will pay for my education. $__________________
… I will have a scholarship from: ___________________________. $__________________
… I will have a student loan from: __________________________. $__________________
… My Government/Company will pay for my education. $__________________
… Other (specify): ______________ $__________________
Total: $__________________

Verification:
A. Sponsor: This is to certify that I (we) the undersigned agree to provide the funds required for all years of study at
the University at Buffalo and that I (we) are submitting bank statements indicating the availability of these funds.

_______________________________________ _________________ ________________________


Sponsor’s signature Date Relationship to applicant

B. Applicant: This is to certify that the information given on this form is complete and accurate to the best of my
knowledge. I am fully aware that any false or misleading statement will result in an automatic denial of admission.

____________________________________________________________ ________________________
Applicant’s signature Date

Return this form with required


verification to your academic department:

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