University at Buffalo Standard Graduate International Finaneial Form ~2016-1 PART 'ngorant Not: rn you mane excl 8 appa in your psp. our psp lite Same or 0 Given Name, wrth (tn oe i isu or 20, wetmst as cop o you rep ogpisl page: plete sed ra histo ene a 1. Nem of applicant = Fay Sara FisiGherame 2. Mor 3 Daweorbinh —_ 4. County bit S$. Country of sizenship 6. Bama addres (print ncatly in lock eters): 7.1 | plan to come without dependents apousesildren) 1 plan to come with dependents. The following dependens (spouse/hildren) will accompeny me PARTI Aplin ate sponsible oral ests of tending the university (1-2 years or Master 4-5 years for Doctoral stunt) Universi costs are subject o cane and ictese an average of to § preent annual. You an you sponsce must sin vetifiatonHatomers A and B. aoe btiom ofthis page inating hat you ae responsible oral oss. Tick the appropate statement below incatng where your fist year of fusing ett coms fom (nde soues ar esepabls).Atach he appropri nancial documentation showing avaabliy of one year ding Source of Funds Tick the boxes showing where your fet year oF nding wil som ow end adhe the anual come tom tha source, The total must mont to atleast $0,111 Source: Amount: vill pay trom my own personal account 1D My ity wit pay or my eduation, 8 es 1 Iwill hav a scholarship rom: s 11 wl ave student oan from 5 1 My Government Company wil pay for my edbeation s 1 Other psi) 8 Tout: §, ‘A. Sponsor: This cet (nthe oe rove ends eed a cf tayo visa iar oe : P ee bp Fathey” ecorensin rts —— ae = = —— ‘his form with reguind aed =a a (Or EMAIL. ce —