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International Student Services SEVIS 214 Hamilton-Williams Campus Center TRANSFER-OUT 61 South Sandusky Street FORM Delaware, OH 43015

If you are currently attending as an international student in F-1 visa status and are planning to transfer to another school in the USA, you must formally notify us of your intent to transfer. Your SEVIS record will not be “transferred-out” until this completed form is received by International Student Services at Ohio Wesleyan University.

You should complete this form only after you have been formally notified of your admission to the school and that the school will issue to you a new I-20 form.

Part I – Your Personal Information:

Your complete name: ______

Your OWU ID number: ______Your SEVIS ID number: ______

Part II – Information About the School to Which You Intend to Transfer:

Name of school to which you intend to transfer as it appears in SEVIS:

______

School’s SEVIS ID: ______

Location of school: ______Part III -- Instruction to OWU to Transfer My SEVIS Record:

I instruct Ohio Wesleyan University transfer my SEVIS record to the above school on the date listed below. I also give Ohio Wesleyan University permission to release any information about myself to the above school as required to facilitate this transfer. I understand that it is my responsibility to maintain my immigration status and insure the accuracy of the above information. I also understand that it may take up to four weeks to process this transfer.

I request that my SEVIS record be transferred on this date: ______.

______Signature Date

Ohio Wesleyan University Telephone: 740-368-3070 International Student Services Email: [email protected] Fax: 740-368-3073