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Dependent Travel Reporting Form
This form is meant for Brandeis student or scholar dependents to report their first time entering the U.S. (if different than when the primary visa holder entered), leaving the U.S. (temporarily or permanently), and re-entering the U.S.
If the dependent(s) entered at the same time as the primary visa holder, the primary visa holder should check in with their dependent documents.
If you have any questions, please contact the International Students & Scholars Office (ISSO) by phone at 781 736 3480 or email at email@example.com.
Name of the primary visa holder
Is the primary visa holder a student or a scholar (researcher, professor, etc)?
How many dependents are being reported?
What type of travel is being reported?
The dependent(s) leaving the U.S.
The dependent(s) entering the U.S. for first time
The dependent(s) re-entering the U.S.
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