Affidavit Form 09

FINANCIAL AFFIDAVIT OF SUPPORT INSTRUCTIONS
2016-2017 ACADEMIC YEAR
Financial Affidavit of Support instructions

Please PRINT or TYPE the information requested on the back of this Financial Affidavit of Support. Please read all
instructions carefully.
Affidavits that provide only statements of general financial support, such as “support for all years of study in U.S.A.,”
will not be accepted.
This form is valid only if signed and stamped by a bank official, lawyer, or embassy official.
Graduate applicants must submit a Financial Affidavit of Support in the amount of $41,000 for the first academic year.
Undergraduate applicants must submit a Financial Affidavit of Support in the amount of $55,000 for the first academic year.
English Language Institute applicants must submit a Financial Affidavit of Support in the amount of $28,000 for the first
academic year.
Guidelines
Sponsorship–All applicants must submit an affidavit signed by a bonafide sponsor(s) along with all supporting documents.
Students sponsored by a home country government, United Nations, etc., must furnish an official letter of sponsorship that
specifies the terms of the award, amount of tuition paid, amount of living allowance, etc., as well as how tuition will be paid. All
sponsorships are subject to approval by the Office of the Bursar.
Timely submission–All affidavits must be current. It and all supporting documents must be received no later than six months
from their date of issuance.
Currency–The affidavit and supporting documents should clearly show U.S. dollar amounts and not amounts in foreign
currencies (i.e. yen, rupees, euros, etc.). These funds must be readily available to support your education. For example, real
estate holdings and other non-liquid assets DO NOT apply.
Checks–Note that all checks made payable to NYIT must be written on a U.S.-affiliated bank or appropriate financial institution.
Dependents–Students planning to bring a spouse and/or children must provide evidence of additional financial support: a
minimum of $5,000 for spouse and $4,500 for each additional dependent for the first year.
Notarization–All affidavits must be notarized (attested or certified). In the U.S., the affidavit of support must be sworn to or
affirmed before a notary public (available at most banks). In other countries, the affidavit should be taken to a U.S. Counselor
Officer of the U.S. Embassy. In other cases, bank officials or lawyers in the home country may be used for this purpose.
Supporting documents
NOTE: Any supporting documents that have not been notarized or certified will not be accepted.
Mail the Financial Affidavit of Support and all supporting documents to:
New York Institute of Technology

Office of Admissions
Northern Boulevard
P.O. Box 8000
Old Westbury, NY 11568-8000, USA
FINANCIAL AFFIDAVIT OF SUPPORT
The purpose of this affidavit is to assure New York Institute of Technology and the United States government
that all necessary costs to maintain the student throughout his/her tenure at the college will be met.
Level of Education
Graduate Undergraduate English Language Institute
Biographical Data
NYIT Identification Number: _____ _____ _____ _____ _____ _____ _____
Name: ______________________________________________________________________________________________________
Last (family) First Middle
Sponsorship
A. Sponsored by self? YES NO
B. Sponsored by parents/other relatives? YES NO
Name of sponsor:_________________________________________________________________________________________
Relationship:_____________________________________________________________________________________________
C. Sponsored by scholarship? YES NO
Scholarship source: _____________________________________________ U.S. $ amount per year:___________________
(Scholarship awarding source must provide official letter of scholarship.)
Dependents
(Spouse, children) if accompanying applicant to the U.S.
Family name:__________________________________________ Family name:__________________________________________

First name:___________________________________________ First name:____________________________________________
Relationship:__________________________________________ Relationship:__________________________________________
Date of birth:__________________________________________ Date of birth:__________________________________________
Country of birth:_______________________________________ Country of birth:_______________________________________
Financial Sponsor
The following section must be completed by the person providing financial support to the applicant.
I commit myself to provide a minimum amount* of U.S. $________________ to meet the yearly college–related expenses
and any additional expenses needed to support any accompanying dependent(s).
* This figure must reflect the sum of amount shown under the appropriate level of education and any applicable monies for each
dependent listed above. These amounts are given in the instruction sheet on the reverse side of this form.
I now have the sum of U.S. $ __________________ in personal bank account(s). (Must provide bank certification below)
Sponsor/guarantor signature: ___________________________________________________________ Date:_________________
Bank Statement
The following section must be completed by a bank official.
Name of account holder: ______________________________________________________________________________________
Account Type: Savings Checking Other:______________________________________________________
Account maintained since: ____________________________________________Current balance (U.S. $):__________________
Signature of bank official: ______________________________________________________________ Date:__________________
Official seal/stamp—affix here

A1098/0216/PDF
NOTE: This form is valid only if signed and stamped by a bank official,
lawyer, or notary and must include signature of the sponsor.

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FINANCIAL AFFIDAVIT OF SUPPORT INSTRUCTIONS

2016-2017 ACADEMIC YEAR

Financial Affidavit of Support instructions

New York Institute of Technology

Family name: Family name:

Official seal/stamp—affix here

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