F1-International Student Change of Data/Information
F-1 International Student Change of Data/Information
Please bring all changes of data to the
International Student Center in Room A-126 (Reception Desk)
BCC ID Number: ___________________ Today’s Date: ______________
Last Name: ____________________________________
First Name: ____________________________________
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Please give us your data changes:
Telephone Number: Old Number: ______________ New Number: ______________
Email: Old Email: _______________New Email: _________________
Local Address:* Old Address: ________________________________________
________________________________________
New Address: ________________________________________
________________________________________
*Please note that it is a USCIS F-1 Regulation that all F-1 students must change their local address with BCC within 10 DAYS of the move.
Home Address Abroad:
Old Address: ________________________________________
________________________________________
New Address: ________________________________________
________________________________________
Change of Last Name:* Old Last Name: __________________________________
New Last Name: _________________________________
*Please provide a marriage certificate for your change of name, or other official name change documentation.
Student Signature: ____________________________________ Date: _____________
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