OFFICE FOR INTERNATIONAL STUDENTS & SCHOLARS
44 Kent Way Newark, DE 19716
PHONE: 302-831-2115 FAX: 302-831-2123
EMAIL: oiss@udel.edu WEB: www.udel.edu/oiss
Your I-20 or DS-2019 will not be
processed until you include the
following with this form:
Affidavit of Support
For Current and Prospective International Students

This form gives you permission to use someone else’s funds to pay for your education.
Personal Information

Student ID: ________________________
Date of Birth:______________________
Last Name: ________________________
First Name: ________________________
E-mail:
Citizenship: ________________________
________________________
A current bank statement
or Financial Guarantee in
USD
A completed I-20 request
Form
Source of Funding
All amounts should be reported in US Dollars . All sources should provide a proof of ability to pay, (such as a bank
statement in US Dollars), with a balance that meets or exceeds the amount to be remitted. Academic units can provide a
letter on department letterhead explicitly stating the amount to be remitted. Failure to pay financial obligations will
result in loss of student immigration status.
Sponsor’s Relationship to Student (i.e. Parent, Spouse, etc.): ____________________________________
Financial Obligation
Total Obligation Amount (Amounts as
required to create visa documents)
Tuition and Fees
Living Expenses
Mandatory Medical Insurance
$31,620
$13,830
$1,115
Expenses for Dependents
$3000 x _____ dependents
Totals
$
Amounts to be Remitted by Source
Sponsor Authorization – Please print source names clearly
I, __________________________________________ will financially support the aforementioned student for the financial obligation listed above in
the column “Amounts to be Remitted by Source 1”, and guarantee this support for at least one academic year from the date of this letter.
Signature of Sponsor
Date
Signature of Applicant
Date