AFFIDAVIT OF SPONSORSHIP FOR AN F-1 STUDENT
(You may photocopy this form for use by more than one sponsor)
Last Name of Sponsor ____________________ First Name_________________
Complete Address ________________________________________
Relationship to student ________________________________________
I hereby certify that I am willing and able and do promise to
provide _____________________________________________
(Name of Student)
funds in the amount of US $ for each year of study at
Bergen Community College in Paramus, New Jersey.
I am employed with ______________________________________
(Name of Employer)
at ____________________________________________________
(Address of Employer)
as a(n) and I have an
annual income of US $ .
Attached is an ORIGINAL statement from my bank attesting to my financial status, proving a minimum of $18,000 (Add $8,000 to this number if you have a spouse, and $4,000 for each child.) Or, I have stocks and bond with the following market value $_______, real estate with a value of $_________ located at (address) ____________________________, or a life insurance policy with a value of $__________as indicated on the attached original documents.
The following persons are dependent upon me for their housing, food or financial support.
Do not list grown children or husbands or wives who are supporting themselves.
DO NOT INCLUDE THE STUDENT NAMED IN THE AFFIDAVIT. Please indicate if you have submitted affidavits of sponsorship for any of the dependents mentioned below by using a Y for Yes, and a N for No, in the appropriate column.
NAME RELATIONSHIP AGE AFF Y/N
_____ ________
_____ ________
_____ ________
_____ ________
_____ ________
This affidavit WILL NOT BE ACCEPTED unless it has been signed by the sponsor in the presence of a notary public and signed and sealed by the notary public. Sponsors from the United States must be a U.S. citizens or permanent residents.
AFFIRMATION OF OATH
I hereby affirm or swear that the contents of the statements in this affidavit are true and correct.
_______________________________
(Signature of Sponsor)
Sworn and subscribed to before me this SEAL OR STAMP
day of , 200 .
_______________________________
(Signature of Notary)
