F-1 Student SEVIS Record Transfer (to be completed by advisor)

International Student Advisors: Please use this form to assist your currently enrolled international student who has requested to transfer into SUNY Plattsburgh. This form is to be completed only for students who have received a letter of acceptance from SUNY Plattsbrugh and who have paid their enrollment deposit.

Student First/Given and Last/Family Name as it appears in SEVIS Student First/Given and Last/Family Name as it appears in SEVIS First Last
Student Date of Birth Student Date of Birth / MM / DD YYYY
Student SEVIS ID#
What date do you intend to release this student's record in SEVIS to State University of New York at Plattsburgh S.U.N.Y. Plattsburgh (BUF214F00386000)? What date do you intend to release this student's record in SEVIS to State University of New York at Plattsburgh S.U.N.Y. Plattsburgh (BUF214F00386000)? / MM / DD YYYY
To the best of your knowledge, is the student currently in status?

To the best of your knowledge, is the student currently in status? Yes No
If not, please explain:
When was the student last considered full-time at your institution?
If the student has been granted practical training, please indicate the type and dates:
Has the student met his/her financial obligations to your institution?

Has the student met his/her financial obligations to your institution? Yes No
If not, please explain:
I CERTIFY THAT ALL INFORMATION ON THIS FORM IS TRUE TO THE BEST OF MY KNOWLEDGE
Signature of school official

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Printed name of school official
Title
Advisor's phone number (Country Code - City Code - Number)
Advisor's email address

F-1 Student SEVIS Record Transfer (to be completed by advisor)

F-1 Student SEVIS Record Transfer (to be completed by advisor)

I CERTIFY THAT ALL INFORMATION ON THIS FORM IS TRUE TO THE BEST OF MY KNOWLEDGE