.: Bluedata - International Institute :.

Registration Form / I20 Application Form

Licensed by New York State
Education Department

I20 Application
International Students Only

1261 Broadway, Suite 1105, New York, NY 10001
Tel: (212) 683-6250 Fax: (212) 213-2790 Website: bluedataesl.com

*All fields are Mandatory.


Passport No:
Status:	School Transfer Initial Attendance Change Status
Family Name:		First Name:
Date of Birth:		Gender :	Male Female
Country of Birth:		Country of Citizenship:
US Address:
City:		State:	Zip Code:
Cell Phone:
Email:		Dependant:

If you are inside the US: Copy of passport valid at least 6 months, visa, and I-94 Form. Visa Waiver if applicable. Transfer form if applicable. Original bank statement (no more than 30 days old) with at least US$15,000 for one year, $10,000 for eight months, and $5,000 for four months. (with Affidavit of Support if necessary) Copy of I-20 issued by previous school. Copy of highest diploma or certificate of academic completion. If you are outside the US: Copy of passport valid at least 6 months. Original bank statement (no more than 30 days old) with at least US$15,000 for one year, $10,000 for eight months, and $5,000 for four months. (with Affidavit of Support if necessary) Copy of highest diploma or certificate of academic completion, transcript, translation and notarization.