Change of Address Form // ISSA // University of Notre Dame


Immigration Services 121 Main Building Notre Dame, IN 46556 USA Telephone (574) 631-5243 Fax (574) 631-9698	Immigration Services Office (ISO) Change of Address Form	Programs 204 LaFortune Student Center Notre Dame, IN 46556 USA Telephone (574) 631-3825 Fax (574) 631-3162

> All F-1 and ND J-1 student visa holders who have moved from one local address to another must submit the ISO Change of Address Form to the ISO within 10 days of the change.

	Last/Family	First/Given	Middle
Name on Passport:
ND Student ID:	90	Date of Birth:
Student Status:	Currently Enrolled / On Summer Vacation	Graduated & Doing OPT
Personal Email:		Local Phone:
		Cell Phone (emergency use only):

Previous Address
Street Name:		Apt/House #
City		State
Zip/Postal Code
Approximate dates at this address	From until

New Address
Street Name:		Apt/House #
City		State
Zip/Postal Code
Effective Date of New Address

Immigration Services Office (ISO) Change of Address Form

Previous Address

New Address

Immigration Services Office (ISO)
Change of Address Form