Affidavit of Support - La Roche College

4848.GLOBALE.9/13.GK
Section 1 • ApplicAnt informAtion
• Name of Applicant
LAst/surNAme First/GiveN middLe
• Country of Citizenship date of Birth - -
mm dd yyyy
i certify that the information provided on this Adavit of support Form is correct and complete.
• signature date - -
mm dd yyyy
Section 2 • SponSor informAtion
Each sponsor should ll out only one of the following parts. Evidence of available funds must be in the form of original notarized or certied
ocial bank statements, employers’ guarantees/statements or agency nancial guarantee.
Part 1 – Privately Supported Students
Please complete this part if you are parent, guardian, relative or friend of the applicant whose name appears above. Please note that
the applicant may choose to change his intended program of study at any time.
As a nancial sponsor, i attest to my ability to provide full nancial support for all expenses of the above applicant’s study at
La roche College. i am providing evidence of available funds for at least one academic year of the program indicated on his/her
application to the College.
• Name of sponsor
LAst/surNAme First/GiveN middLe
• relationship to Applicant
• signature date - -
mm dd yyyy
Part 2 – Company/agency Supported Students
Please complete this section if you are authorized to submit nancial statements on behalf of your company, organization,
government or other agency. Please note that the applicant may choose to change his intended program of study at any time.
i certify that as a nancial sponsor of the applicant whose name appears above, the company/agency will named below nancially
support the applicant’s study at La roche College. the company/agency is providing evidence of available funds for at least one
academic year of the program indicated on his/her application to the College.
• Name of Company/Agency
• Name and title of Authorizing Ocial
• signature of Authorizing Ocial date - -
mm dd yyyy
1
adavit of Support | Financial resources Form
International Undergraduate admissions
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