F-1 Student Exit Form

F-1 Student Exit Form

F-1 Student Exit Form
All F-1 students must complete the Exit Form in their last quarter at New Vision Institute. This form, necessary for updating your SEVIS record per federal regulations, should be submitted to our office before the quarter's end.
Legal Name

First NameLast Name
Student ID
SEVIS ID
Please Type 10 Digits (Check your I-20)
Last Term of Study
Year of Last Term
I-20 Expiration Date

MonthDayYear
Please see item #5 of your I-20 form
Gender
Date of Bitrth

MonthDayYear
Date
Email
Please enter a valid email address
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

You Must Provide The Reason For Your Decision To Leave The School.
- 1. Transfer To Another School (Full Name of School)
- School Code
- Start Date
  
  MonthDayYear
  Date
- Transfer out Date
  
  MonthDayYear
  Date
- Type of Program
- Please upload a copy of your Acceptance Letter
  
  Cancelof
- Date of I-485 Receipt Notice
  
  MonthDayYear
  Date
- Please upload a copy of your I-485 Receipt Notice.
  
  Cancelof
- Date of Green Card Approval Date
  
  MonthDayYear
  Date
- Please upload a copy of your green card.
  
  Cancelof
- Date of Departure
  
  MonthDayYear
  Date
- Please upload a copy of your airplane ticket or flight confirmation that includes your name.
  
  Cancelof
- Other (Explain in detail)

Signature Date

MonthDayYear
Date
Signature
Should be Empty: