Los Angeles Main Campus

505 Shatto Place, Suite 300
Los Angeles, CA 90020
Tel 213.382.1136 · Fax 213.382.1187

Buena Park Branch Campus

6131 Orangethorpe Ave., Suite 116
Buena Park, CA 90620
Tel 714.228.0307 · Fax 714.228.0308

www.nobeluniversity.edu

Request to Defer / Reissue Form I-20

For F-1 students with an existing Form I-20 issued by Nobel University · Rev 05/2026

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Who should use this form. Use this form if you already have a Form I-20 issued by Nobel University and need to either (a) defer your enrollment to a later term, or (b) request a reissued/updated Form I-20 due to a change in program, financial info, personal info, dependents, or because the I-20 was lost or damaged. Allow 3-5 business days for review.

Fields marked with * are required.

Section 1·Reason for Request

Check exactly one

Reason*

Defer enrollment to a later term — have not activated SEVIS yetReissue: Program / level / campus change — new I-20 with new program detailsReissue: Financial information update — new sponsor, funding, or bank docsReissue: Personal information change — name, DOB, or citizenship correctionReissue: Dependent (F-2) change — add or remove a spouse / childReissue: Lost / damaged / correction — physical I-20 lost or damagedReissue: Other — explain below

Section 4·Applicant Information

As shown on your passport

Last / Family Name*First / Given Name*Middle Name

Date of Birth*

Sex*

Marital Status

SingleMarried

Country of Citizenship*

Country of BirthPassport Number*Passport Expiration

Foreign Address (Street, City, State/Province, ZIP, Country)U.S. Mailing Address (if in the U.S.)

Email Address*Mobile Number*Home Telephone

Section 5·U.S. Status

Complete if currently in the U.S.

Currently in U.S.?

YesNo

Current visa typeVisa expiration

I-94 admit-until

RFE / NOID received from USCIS?

YesNo

Section 6·Dependent (F-2) Information

If applicable

Dependent 1

Last NameFirst NameDate of BirthCountry of Citizenship

Relationship

SpouseChild

Dependent 2

Last NameFirst NameDate of BirthCountry of Citizenship

Relationship

SpouseChild

Dependent 3

Last NameFirst NameDate of BirthCountry of Citizenship

Relationship

SpouseChild

Section 7·Financial Information

Complete if financial reissue

Source(s) of funding (check all that apply)

Other source of funding (specify)Total annual funds available (USD $)

Section 8·Delivery of New Form I-20

Choose one*

Pick up at Nobel University (Los Angeles or Buena Park)U.S. domestic mail (USPS — no additional fee; allow 5-7 business days)International mail or express courier (applicant pays shipping fees)Email scanned copy (digital Form I-20)

Section 9·Submission Checklist

Signed Defer / Reissue FormCopy of current Form I-20Updated Affidavit of Financial Support (if financial change)Bank statement(s) within last 6 months (if financial change)Passport biographical page copyCurrent U.S. visa and I-94 (if currently in the U.S.)Copy of RFE / NOID (if received from USCIS)Marriage / birth certificate (if dependent change)

Section 10·Student Attestation

By signing below, I certify that all information is true and complete; that misrepresentation may result in denial or cancellation of my Form I-20; and I agree to comply with all F-1 nonimmigrant regulations under 8 CFR 214.2(f) and report changes to the DSO within ten (10) days.

Name (printed)*Signature (typed)*Date*

On submit: a completed PDF is generated, sent to the Admissions Office, and a copy is emailed to you.

Request to Defer / Reissue Form I-20

Section 1·Reason for Request

Section 2·Current Nobel Enrollment

Section 3·Requested Change

Section 4·Applicant Information

Section 5·U.S. Status

Section 6·Dependent (F-2) Information

Section 7·Financial Information

Section 8·Delivery of New Form I-20

Section 9·Submission Checklist

Section 10·Student Attestation