Travel Signature Request Form

International Students OfficeTravel Signature Request Form

Please fill out this form if you are traveling outside of the United States.

1Student Information > 2Eduaction Information > 3Travel Information > 4Visa & Passport Information > 5Additional Inofrmation
Today's Date Today's Date / MM / DD YYYY
Empl ID or CUNY ID#
SEVIS ID #

Your SEVIS ID number can be found in the upper left corner of your SEVIS I-20 and the upper right corner for DS2019 document.
Name Name First Last
Phone Number Phone Number - ### - ### ####
Email
Date Of Birth Date Of Birth / MM / DD YYYY
Country of Citizenship
Country of Permanent Residence
City of Birth
Are you on OPT (Optional Practical Training) or AT (Academic Training) ?

Are you on OPT (Optional Practical Training) or AT (Academic Training) ? Yes No
U.S. Address U.S. Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Put Apartment number in Address line 2, if applicable.