Change of Address Form

Any change of the information below has to be reported to the DSO within 10 business days.

Name Name First Last
WUST Email
SEVIS ID
Phone Phone - ### - ### ####
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Is your Mailing address the same as your Physical address?

Is your Mailing address the same as your Physical address? Yes No
Mailing address (if different from physical address) Mailing address (if different from physical address)
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Type the letters you see in the image below.