[PDF] Replace or Correct I-20/DS-2019: F-1/J-1 Students





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APPLICATION FOR A U.S. PASSPORT FOR ELIGIBLE

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International Center

3201 S State St, MTCC 106, Chicago, IL 60616

312.567.3680 ‡ icenter@iit.edu ‡ ic.iit.edu

Replace or Correct I-20/DS-2019:

F-1 /J-1 Students

STUDENT INFORMATION

Last Name: ______________________________________

IIT ID#: _________________________________________ IIT Email: _______________________________________ Degree Level: ____________________________________

First Name: _____________________________________

SEVIS ID#: ______________________________________

Phone #: _______________________________________

Major: _________________________________________

REASON FOR REPLACEMENT OR CORRECTION (SELECT ALL THAT APPLY)

Replace I-20/DS-2019 for the following reason:

Travel Lost Stolen Damaged Updated

Correct or Update Biographical Information

*You must submit a copy of your passport & OMYH SURŃHVVHG POH ŃOMQJH RLPO POH 5HJLVPUMU·V 2IILŃH

Correct Name:

First: _______________________ Middle: _______________________ Last: _______________________ Correct Date of Birth (mm/dd/yyyy): _______________________________ Correct Country of Birth: _______________________________ Correct Country of Citizenship: _______________________________ Other Biographical Correction: _______________________________

Correct or Update Academic Information

*The change must be reflected in the Banner system before we can make any changes to your I-20/DS-2019

Correct Major:

Old Major: _______________________________ New Major: _______________________________ Update OPT Employment Information (F-1 Students Only) *You must first report your employment through the OPT Employment Reporting App Date of Employment Report (mm/dd/yyyy): _______________________________quotesdbs_dbs23.pdfusesText_29
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