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Update Your Contact Information

This form is for immigration purposes only for use by Vanderbilt international students, staff and faculty on a F-1 or J-1 Visa.  This includes sudents currently on Optional Practical Training (OPT) or Academic Training (AT).

All changes of address should be submitted to ISSS within 10 days of any move as per Immigration regulation 8 C.F.R. 265.1.

All current students should also update their address with Vanderbilt University by logging ontoYES.

All staff and faculty should also update their address with Vanderbilt by logging onto C2HR

STUDENT OR SCHOLAR INFORMATION (on F-1 or J-1 Visa)

Last Name

First Name

Birth Date (mm/dd/yy)

Physical Address
If you live on campus enter your Dorm Name and Room Number as your physical address. A PMB or Station B address is not acceptable.

City

State

Zip Code

Telephone 1  Home Cell Work

Telephone 2  Home Cell Work

E-mail Address

Visa Type  F-1 J-1

I am a  Student Scholar

SPOUSE INFORMATION (for spouse on F-2 or J-2 Visa)

Spouse Last Name

Spouse First Name

Spouse E-mail

EMERGENCY CONTACT INFORMATION

Full Name

Phone

Relationship to you

Language Spoken