Travel Signature Request Form

International Students OfficeTravel Signature Request Form

Please fill out this form if you are traveling outside of the United States.

Today's Date Today's Date * / MM / DD YYYY
Name Name * First Last
CUNYfirst ID # *
SEVIS ID # *

Your SEVIS ID number can be found in the upper left corner of your SEVIS I-20 and the upper right corner for DS2019 document.
Date Of Birth Date Of Birth * / MM / DD YYYY
City of Birth *
Are you on OPT (Optional Practical Training) or AT (Academic Training) ? *

Are you on OPT (Optional Practical Training) or AT (Academic Training) ? Yes No
Phone Number Phone Number * - ### - ### ####
U.S. Address U.S. Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Put Apartment number in Address line 2, if applicable.
Email *
Intended Major
Declared Major
Country of Citizenship *
Country of Permanent Residence *
Degree Level *
Other? Specify degree level below:
This current semester I am taking (state the number of credits below, add 0 if you are not taking any courses this semester)
Current Semester

Current Semester Fall Spring Summer Session
TRAVEL INFORMATION
Traveling to : *

State the country/countries
Travel Date Travel Date * / MM / DD YYYY
Return Date Return Date * / MM / DD YYYY
I Need To Have: *

I Need To Have: My current I-20 form endorsed for re-entry to the United States ; My Visa has not expired A new I-20 issued because (see below for options):
Please Check one

Please Check one Visa Renewal (Visa is no longer valid/expired) Visa Application Change of Major Program Extension

Click on the rectangle to select and to state which best apply to you.
Specify Here :
VISA AND IMMIGRATION INFORMATION
Visa Type *

Visa Type F-1 J-1 I do not have a visa because I am exempt
Expiration Date Of Visa : Expiration Date Of Visa : * / MM / DD YYYY
Embassy abroad which issued you this visa :

Enter the country here
I changed to F-1 from a (specify below)

What type of visa/status did you have before the change to F-1?
PASSPORT INFORMATION
Expiration Date of Passport Expiration Date of Passport * / MM / DD YYYY
Passport Number *
Issued by (country) : *
ADDITIONAL INFORMATION
Foreign Address Foreign Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
If you have a problem submitting this form because the foreign address does not contain an information requested in the address field, just add a (.) dot there to continue.
If you have filled out a Full Time Certification Form during this semester, please check the box

If you have filled out a Full Time Certification Form during this semester, please check the box Yes
If applicable, I am pre-registered __ credits for next semester (check one below)
Select the pre-registered semester below:

Select the pre-registered semester below: Fall Spring
IMPORTANT!! Processing time required is two weeks during busy time. If you require emergency processing, complete the following information below :
I need to have my I-20/DS-2019 no later than I need to have my I-20/DS-2019 no later than / MM / DD YYYY
Click here to print a copy of the completed form.

Travel Signature Request Form

International Students OfficeTravel Signature Request Form

TRAVEL INFORMATION

VISA AND IMMIGRATION INFORMATION

PASSPORT INFORMATION

ADDITIONAL INFORMATION

IMPORTANT!! Processing time required is two weeks during busy time. If you require emergency processing, complete the following information below :

Click here to print a copy of the completed form.