Admitted Students

Graduate Declaration and Certification of Finances

To Be Completed By Applicant

You are required to certify that you will have adequate financial support to cover your cost of education and living expenses for the entire period of study at Polytechnic Institute of NYU. A Certificate of Eligibility (Form I-20 or Form DS2019) for obtaining a student visa will not be issued until you have completed this form satisfactorily and submitted it with the official documents which verify your assets. Read the enclosed instructions and fill in the form as per the instructions.

Be sure to keep copies of all documents submitted because you will need this information when you apply to the United States Citizenship and Immigration Services for a visa.

Please have the following documents ready in electronic form before you start filling out this form.

  1. Affidavit of Support  (This is a declaration which has to be filled by the applicant’s sponsor. Applicants who are sponsoring themselves need to fill out the affidavit of support as well. PhD applicants who are funded by the department need not fill this form.)
  2. Proof of availability of funds such as bank statements indicating available funds, loan approval letters or any other demonstration of assets (PhD students can submit award letters from academic departments, if any). All documents submitted as proof of availability of funds must be in the name(s) of those signing affadavits of support.
  3. Copy of Applicant’s Passport and dependants' passport(s), if any.
Biographic Details

As per passport

According to passport

According to passport

According to passport

7 digit NYU-Poly ID number; 0######

According to passport

According to passport

According to passport

Upload a scan of your passport.

Dependants

Enter details of any dependents (ex; spouse, children) if they're are accompanying you.

According to his/her passport

According to his/her passport

Relation to the applicant

Upload a scan of your passport.

According to his/her passport

According to his/her passport

Relation to the applicant

Upload a scan of your passport.

According to his/her passport

According to his/her passport

Relation to the applicant

Upload a scan of your passport.

If more than three dependents are accompanying you, please upload their details in a single document.

Financial Details

Applicants must fill out either section I or section II or both.

You must be able to show adequate funds for your tuition fees (after deducting your scholarship, if any), living, and other expenses (minimum of USD 39,577 for a year. For every dependent, an additional USD 4000 must be shown).

Section I

To be filled by applicants who are self sponsored or are being sponsored by family.

Full name of the sponsor

Relationship to the applicant

Section II

To be filled out by applicants who are being sponsored by their government, employer or some private agency.

$

Total amount available to cover applicant's tuition and living expense, a minimum of $39,577

Bank letters or government sponsored letters or employer letters or private agency letters or others

Affidavit of Support

This is a declaration which has to be filled by the applicant’s sponsor and should be notarized. Applicants who are sponsoring themselves need to fill out the affidavit of support as well.

Additional Document(s)
Applicant's Signature

By signing my name on this form, I certify that the information above is an accurate statement of my arrangements for financing my studies at Polytechnic Institute of NYU.

Applicant's Full Name