EMBASSY OF THE STATE OF KUWAIT
CULTURAL DIVISION
3500 International Drive, N.W., Washington, D.C. 20008 Telephone:(202) 364-2100 FAX: (202) 363-8394/ (202) 362-4379
VERIFICATION
OF ENROLLMENT
Term: _____________ Year: ____________
Sponsor: ( ) MOHE ( ) Private ( ) Arabian Oil
This is to certify that ______________________________________________________
First Name Last Name Embassy ID #
is enrolled in:
Name of University : _______________________________
Major : _______________________________
Expected Date of Graduation : _______________________________
Course # Course Name # of Credits
______________ ______________________________________ ___________
______________ ______________________________________ ___________
______________ ______________________________________ ___________
______________ ______________________________________ ___________
______________ ______________________________________ ___________
______________ ______________________________________ ___________
______________ ______________________________________ ___________
Total # of Credits ___________
E-mail Address : _______________________________
My Embassy Advisor is : _______________________________
Note:
1. STUDENTS WITH DEPENDENTS: Please attach copies of your spouse and/or children’s I-94 when applicable.
2. Students are reminded to request a MEDICAL INSURANCE WAIVER. Full medical coverage is provided by the Embassy of Kuwait through Cigna Health Care/ Account # 2298366.
3. You must fill in ALL fields on this form; otherwise, it will be returned to you.
Student’s Signature : _____________________________
Signature & Stamp of Registrar : _____________________________
Very Important Reminders… |
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PLEASE DO NOT
FORGET TO SEND |
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Address/Telephone/E-mail
Update
(Please
complete this form if you have any changes.)
Student’s
Name
_______________________________________
Address
_______________________________________
_______________________________________
_______________________________________
City
State
Zip Code
Home
Telephone #
_______________________________________
Mobile
#
_______________________________________