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Department of Homeland Security 1-26, Certificate of Eligibility for Nonimmigrant Student Status U.S. Immigration and Customs Enforcement (OMB NO. 1653-0038 SEVIS ID: NO034739895. freNaarannany Sone GIVEN NAME, [Class of Admission IAVDREE KAUR [PREFERRED NAME, PASSPORT NAME, fervnese navn I { v I [courrey oF mner (COUNTRY OF CITIZENSH - lcrry oF ser DATE OF BIRTH, femowineur 26 DECEMBER 2002 ‘eee RR lrowatissuE REASON ADMISSION NUMBER LANGUAGE, SCHOOL INFORMATION ‘SCHOOL ADDRESS 5500 University Parkway, UH-235, San Bernardino, CA SCHOOL CODE AND APPROVAL DATE tosz14F00s12000 1 Aucust 2002 PROGRAM OF STUDY [EDUCATION LEVEL fascunion's [PROGRAM ENGLISH PROFICIENCY sequized tart OF CLASSES hs avsust 2023 FINANCIALS [ESTIMATED AVERAGE CosTS FOR: [OMONTHS 10) TOTAL Mgnt Conc SCHOOL ATTESTATION [cei uniter penalty of perjury that all information provided above was entered befoge {signed this Corn and is noe and Comes. | exccued his form in the United [tates ar review and evaluation in the United States by me oroaer officials ofthe school othe tides application, ransrigt, or over meords of courses taken fst poaf of isancial esponsibility, which wore received atthe school rir tothe exec df ths fe. Th choc is termina thal abive waned see's lifications metal standards for admission othe school and the tudes wil he eure o pursue a fall rogram of stady ax defined by # CFR 204.4046). Lana esiansted setoo! a and am authorized 0 issue th form, DATE ISSUED PLACE ISSUED STUDENT ATTESTATION faye read and agreed to comply with de terms and conditions of my aniston andthose of any eatesion of tay. Icey that all information provided an tis form fetes specifically to me and is tru and core othe bes of ei kale. | cent that | eck lo enter o ein in se Ute States tenor, ad solely foe tbe lrpose of pursuing full program of study atthe school named above. Ilsa suthrze the named school release any ifrmaton from my records necded by DIES fursoant o 8 CFR 214.3(g) m0 determine my noriimmisran sats. Pareat or guardian, and student, must sig Wstudent is under 8. x NATURE OF a DATE x GUARDIAN SIGNATURE “ADDRESS cty/ate or provineslcounary) DATE. [NAME OF PARENT OR ICE Form 1-20 (11/30/2025) Page 1 of 3 : & whogpuratatstt—telanhes) (wend kaya ScheeT)_— lowe 4 | > ee Page: [Date 7 / whot 1s the name of the univasity whee you completed Your mee ate 0 ree — | deee)dmd whebe {5 a A 4 hove done-| complete ie npn leg i

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