International Student Affidavit of Support - LDS Business College
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International Student Affidavit of Support
Instructions to the Parent/Sponsor: Please answer all items completely. State monetary
amounts requested below in equivalent US dollars. Amounts must be equal to or greater than the
amounts required. Please discuss these amounts with the applicant before submitting this form.
Please fill out legibly.
If you do not complete all information, it will delay the student’s visa
process.
Estimated Undergraduate expenses for LDS Business College for two semesters (8 months)
Member Non Member
Tuition $3,100 $6,200
Living Expenses $8,000 $8,000
Other (Books, Supplies, Health Insurance) $1,500 $1,500
Total Expenses $12,600 $15,700
An additional U.S. $2,000 per year should be added to the above estimates for each dependent. All fees are subject to change
without notice.
This affidavit is executed on behalf of the following person:
Name: / Net ID: _______________
Surname/Family Name First,Middle
Date of Birth:_____________________ Citizen of (Country):_______________________ Marital Status:______________
Presently Resides At:
Street Address City State Country
Parent/Sponsor(s) Inform ation:
Parent/Sponsor’s Name: /
Surname/Family name First,Middle
Address:
Work Telephone: _____________________ Home Telephone: _____________________ Cell Phone:___________________
Email:________________________________________________ Parent/Sponsor’s Age:_________
Relationship to Applicant: Sponsor Father Mother Other (specify):________________________________________
Employment:
Pos it ion Held Co m pany Name
Net Annual Income (convert to US dollars):________________
Location
Convert the amount of money deposited in saving banks into US Dollars:__________________________
Types of Contribution: (check all that apply) All support Room and board Other:____________
Money/tuition Books and supplies
Total value in US$ per year:____________________ for a period of _____________ years, starting from ___________ to
_____________ or until applicant gr aduates college.
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