Change of Address, Phone, and/ or Email

Please complete all sections. USCIS regulations requires non- U.S. citizens to report a change of address, phone or email within 10 days of moving within the U.S. or its territories.

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* 1. Student Information

Last Name (Surname)

First Name (Given Name)

Student ID #

UAFS Email Address

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* 2. Visa Type

F-1

J-1

Other (please specify)

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* 3. Requesting Change in:

Address

Phone

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* 4. Previous Information

Previous Address

City/Town

State/Province

ZIP/Postal Code

Previous Email Address

Previous Phone Number

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* 5. New Address

New Address

City/Town

State/Province

ZIP/Postal Code

New Email Address

New Phone Number

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* 6. By typing my name below, I am verifying that the information above is the best to my knowledge.

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* 7. Date

Date / Time

Date