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California School of Dental Assisting
1506 Huntington Drive
South Pasadena, California 91030
(626) 799-3777
(626) 799-3208 fax
www.CaliforniaSchoolOfDentalAssisting.com

I-20(SEVIS) Application
To avoid delay, please include all information. The $500.00 fee includes processing and SEVIS fee’s (SEVIS fee is NON-REFUNEDABLE)
Payment: Check or Money order made out to above School name & address.

 
Student Personal Info
 
Your E-mail Address:
Family Name
First Name
Country of Birth
Date of Birth
Country of Citizenship
Foreign Address
Foreign Address 2
City
Province/ Territory
Postal Code
Country
US address
US address 2
City
State
Zip
Gender
Driver License Number
Driver License Issue State
Social Security Number
Individual Taxpayer ID Number
Admission Number
(To be provided by school)

Remarks

 

I accept agreement

If you have any questions please give us a Call :
Your Country Code]-1-626-799-3777
Info@CaliforniaSchoolOfDentalAssisting.com

 
Application I20 - California School Of Dental Assisting - Dental School In California - Dental University - Top Dental Schools - California Schools Of Dentistry

 

 

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