SEVIS BioSheet

In order for the Office of International Students Services to register you with the SEVIS system, you must complete the following form completely. US immigration regulations require that you report any changes of this information to our office or the USCIS within 10 days. IF YOU DO NOT HAVE THIS INFORMATION, MARK "X" ON THE LINE AND GO ON TO THE NEXT QUESTION.

* Required

All About You:

LSU ID#: *

First Name: *

Last Name: *

English Name: Nickname

Name on Passport: *

Gender: *

Male
Female

Date of Birth: * (mm/dd/yyyy)

Country of Birth: *

Country of Citizenship: *

Admission Number (I-94#): *

Visa Exp. Date: *

Visa Type: *

Social Security Number: 000-00-0000

Drivers License #:

Issue State:

Current United States Address:

i.e. Where are you sleeping? (It cannot be a PO Box)

Address: * Ex. 4500 Riverwalk Parkway

City: * Ex. Riverside

State: * Ex. California

Zip Code: * Ex. 92505

Phone Number: *

Cell/Pager Number: *

E-Mail: *

Current Residential Foreign Address:

(This is the address where you live in your home country)

Address: *

City: *

State/Province:

Postal Code:

Country: *

Phone Number: *

About Your Program:

Current Major: *

Current Minor:

Current Program: *

ESL
BA/BS
Masters
Doctorate

Anticipated Graduation Date: *

Dependents' Information

Do you having any dependents (spouse or children) with you now? *

Name:

DOB:

Citizenship:

Relationship:

Name:

DOB:

Citizenship:

Relationship:

Name:

DOB:

Citizenship:

Relationship:

Name:

DOB:

Citizenship:

Relationship:

Name:

DOB:

Citizenship:

Relationship: