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Name: _______________________________________________________________________ Last First Middle Student ID#: _______________________________________ Phone number: (____)_________________ Email: _________________@student.gsu.edu Reason for requesting a new I-20 (check all that apply): Change of program Previous program or level __________________________________________________________ New program or level _____________________________________________________________ Semester program or level changed __________________________________________________ Financial information has changed *Must include new financial documents (GRA/GTA letter, bank letters, etc.) Add dependents *Must include copy of dependent passport ID page and proof of current status if in the US *Must include financial documents reflecting $4,500 for spouse and/or $2,500 for child Change of major Previous Major___________________________________________________________________ New Major______________________________________________________________________ Date major changed ____________________________ Lost or Stolen *Include copy of police report if stolen Transfer student *SEVIS record must be transferred from previous school Other:______________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Student Signature __________________________________________ Date_______________ For International Services Use Only Information updated on _________________________ Date new I-20 printed __________________________ Advisor Signature ______________________________________________________________ Notes: 03/02/2007 С6т1а    6╨6т1а*Р "Ё$КЇИИИИИИИ И И И И ИИИИ И И И И ИИ ИИ,И9"ЁDК "HК "└@0( 7т1а    Ч|    Ч|n 5 business days. 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