* Semester:	FallSpringSummer
* Year:	2012 2013 2014 2015 2016 2017 2018

YOUR IMMIGRATION DOCUMENTS WILL BE PREPARED AS SOON AS YOU SUBMIT THIS COMPLETED FORM

IF YOU ARE CURRENTLY ATTENDING A U.S. SCHOOL, WE WILL SEND YOU ADDITIONAL INFORMATION ABOUT TRANSFERRING YOUR F-1 SEVIS RECORD

* Do you plan to attend Binghamton University?

YesNo

If no, please indicate reason

Binghamton University ID#:		- Binghamton University ID# is also known as the "B" number because it begins with "B"
		- This information is provided in your admission letter
		- If you do not have your BU identification number, you can still complete the form, as it is not a required field

PERSONAL INFORMATION

* First Name
Middle Name
* Last Name
* Date of Birth
	(MM/DD/YYYY)
* City of Birth
* Country of Birth
* Country of Citizenship
* Telephone
* E-Mail (If any)
Permanent Address in Home Country
* Address 1
Address 2
* City
State
* Country
Postal Code
Mailing Address
Same as Permanent Address
* Address 1
Address 2
* City
State
* Country
Postal Code

* EDUCATIONAL INFORMATION: Answer based on your Binghamton program

GraduateUndergraduateExchange StudentDual Diploma Student (Turkey)

If you are currently studying in the U.S.

Name of School