Graduate Declaration and Certification of Finances

To Be Completed By Applicant

You are required to certify that you will have adequate financial support to cover your cost of education and living expenses for the entire period of study at NYU Polytechnic School of Engineering. A Certificate of Eligibility (Form I-20 or Form DS2019) for obtaining a student visa will not be issued until you have paid the Graduate Tuition Deposit (or confirmed your enrollment, if your deposit has been waived) and completed this form satisfactorily (including uploading official documents which verify your sponsor(s) assets). Read the enclosed instructions and fill in this form per the instructions.

Official documents do not need to be mailed, but be sure to keep them (including copies). You will need this information when you apply to the United States Bureau of Consular Affairs for a visa, and you may be asked to show it at New Graduate Student Orientation.

Please have the following documents ready in electronic form before you start filling out this form.

  1. Affidavit of Support (This is a declaration that must be filled by your sponsor(s). If you are sponsoring yourself, you must fill out this affidavit as well. If you are being fully-funded by your department, government, or other entity, they need not fill out this form.)
  2. Proof of availability of funds such as bank statements indicating available (liquid) funds, loan letters showing full approval, or other demonstration of liquid assets. (Fully-funded students may submit award letters from academic departments and/or government entities, as applicable.) All documents submitted as proof of availability of funds must be in the name(s) of those sponsor(s) signing affidavits of support.
  3. Copy of your passport and dependents' passport(s) (if applicable).
Biographic Details

As per passport

According to passport

According to passport

According to passport

9 digit NYU University ID

According to passport

According to passport

According to passport

Upload a scan of your passport.

Dependants

Enter details of any dependents (ex; spouse, children) if they're are accompanying you.

According to his/her passport

According to his/her passport

Relation to the applicant

Upload a scan of your passport.

According to his/her passport

According to his/her passport

Relation to the applicant

Upload a scan of your passport.

According to his/her passport

According to his/her passport

Relation to the applicant

Upload a scan of your passport.

If more than three dependents are accompanying you, please upload their details in a single document.

Financial Details

Applicants must fill out either section I or section II or both.

You must be able to show adequate funds for your tuition fees (after deducting your scholarship, if any), living, and other expenses (minimum of USD 49,315 for a year. For every dependent, an additional USD 5,400 must be shown).

Section I

To be filled by applicants who are self sponsored or are being sponsored by family.

Full name of the sponsor

Relationship to the applicant

Section II

To be filled out by applicants who are being sponsored by their government, employer or some private agency.

$

Total amount available to cover applicant's tuition and living expense, a minimum of $49,315

Bank letters or government sponsored letters or employer letters or private agency letters or others

Affidavit of Support

This is a declaration which has to be filled by the applicant’s sponsor and should be notarized. Applicants who are sponsoring themselves need to fill out the affidavit of support as well.

Additional Document(s)
Applicant's Signature

By signing my name on this form, I certify that the information above is an accurate statement of my arrangements for financing my studies at Polytechnic Institute of NYU.

Applicant's Full Name