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Replacement of Lost I-20 or DS-2019 Request

Family Name*
First Name*
Middle Name
Student Number*
E-mail Address*
Phone Number*
Street Address*
City*
State*
Zip Code*
Semester You Began at UCM Fall    Spring    Summer   
Year you began at UCM*
Major*
Degree* BA    BS    BSBA    BFA    BSE    MA    MS    MBA    MSE   
Visa Classification F-1    J-1   
Visa Expiration Date*
Passport Expiration Date*
Comments