Expected Visa Type: 

✔ Academic

International Student Certification of Finances 2018-2019

Applicant Name: _____________________________________________Date

Miguel Angel Torres Franco of Birth_______________
oct-08-1991
Month/day/year
Permanent Address: ______________________________________
Del pozo #131 Villas de la cantera, Aguascalientes, Mexico. ZC 20200 Place of Birth______________
Mexico

Country
______________________________________________________ _________________________
Mexico

Country of Citizenship
Mailing Address _________________________________________________________
(If different from above)

Student Sources of Funds:

Enter the source and the expected amount of annual support (in U.S. dollars) from all sources.

Personal Savings:
Name on Bank Account_____________________________________
Miguel Angel Torres Franco _______________
$_1201.00
Available funds
Name of Bank________________________________Address____________________________
BanBajio Blvd. Manuel J. Cluthier 402 Leon Guanajuato ZC 37128

 Official copy of the bank statement is attached.

✔

Family Savings: (complete the affidavit of support – found on the back, if the name on the account is
other than the student’s)
Name on Bank Account_____________________________________ $________________
Available funds
Name of Bank________________________________Address____________________________
 Official copy of the bank statement is attached.

Funds available from Sponsors: (complete affidavit of support- found on back, releasing the funds
to the student while he/she is studying at SFCM)
Name on Bank Account_____________________________________ $________________
Available funds
Name of Bank________________________________Address____________________________
 Official copy of the bank statement is attached.

Outside scholarships or awards: (attach a signed copy of your letter of award)

Name of Agency_______________________________________$________________
“While SFCM does not make our admission decision based on need, submitting a bank statement may help
the conservatory award you a scholarship that reflects your current financial standing more accurately.
Therefore, if you wish to submit a bank statement along with this form by February 15th, we would
welcome it. If you do not submit a bank statement before February 15th, please note that should you be
accepted and decide to enroll at SFCM, we will require you to submit a bank statement in order to grant
you your I-20 for visa purposes”.

I certify the information on this form is true, correct, and complete. I understand that any misrepresentation
may be cause for refusing or revoking visa eligibility.

Signature of Student: ________________________________________________Date________________

Miguel Angel Torres Franco March-2-2018