Certification of Status Letter Request Form - California State University

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California State University, Los Angeles
International Office
Certification of Status Letter Request
To request a letter certifying your F-1/J-1 international student status, please complete the request
below. Your letter(s) will be available to pickup in 5 business days in the International Office after your
successful online submission.
TO BE COMPLETED BY STUDENT:
Name*
CIN*
Family/Last Name
First Name
Middle
Major*
E-mail*
Country of
Citizenship*
Expected Degree
Completion*
r Winter
r Spring
r Fall
r Summer
Year*
Degree*
r ELP r Graduate r Undergraduate r Other
Purpose of
Certificate*
r Certification of Status
r Graduation Ceremony Invitation* (List name of people attending, and their relationship to you)
Last Name
First Name
Relationship
r Invitation Letter* (List name of people attending, and their relationship to you)
Last Name
First Name
Relationship
r Certification of Status - Financial
California State University, Los Angeles
International Office
Certification of Status Letter Request
To request a letter certifying your F-1/J-1 international student status, please complete the request
below. Your letter(s) will be available to pickup in 5 business days in the International Office after your
successful online submission.
TO BE COMPLETED BY STUDENT:
Name*
CIN*
Family/Last Name
First Name
Middle
Major*
E-mail*
Country of
Citizenship*
Expected Degree
Completion*
r Winter
r Spring
r Fall
r Summer
Year*
Degree*
r ELP r Graduate r Undergraduate r Other
Purpose of
Certificate*
r Certification of Status
r Graduation Ceremony Invitation* (List name of people attending, and their relationship to you)
Last Name
First Name
Relationship
r Invitation Letter* (List name of people attending, and their relationship to you)
Last Name
First Name
Relationship
r Certification of Status - Financial

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