Comisión de Administración de Divisas (CADIVI) Request Form I. Student Information PLEASE WRITE CLEARLY AND IN BLOCK LETTERS Student’s Name _____________________________________________________ NSU ID:_________________ Last First Local Address ______________________________________________________________________________ Street, City, State, Zip Daytime Telephone Number________________________________ Venezuelan ID_______________________ Please indicate the EXACT degree and concentration/specialization that you want to appear on the letters Bachelor’s / Major_____________________________________ Doctoral/ Concentration_________________________________ Master’s / Concentration_________________________________ Certificate/ Specialization________________________________ 2. CADIVI Request Doc # 1-CADIVI Letter (Constancia de Estudio) and Doc # 2-CADIVI Tuition Invoice (Factura Pro-Forma) Academic Year:________ Term: Fall Winter Spring Summer Doc # 3-CADIVI Letter of Receipt (Recibo del periodo anterior) and Doc # 4-Wire Transfer Information Letter (Carta del Giro) Academic Year:_________ Term: Fall Winter Spring Summer Doc # 5-CADIVI Verification Please select all applicable: Doc 5a-Registration Letter (Next Term) for Academic Year:_________Term: Doc 5b-Enrollment Letter (Current Term) for Academic Year:_________Term: Fall Fall Doc 5c-Term Completion Letter (Previous Term) for Academic Year:_______Term: Winter Spring Winter Fall Summer Spring Winter Summer Spring Summer Special Instructions_________________________________________________________________________________ Doc # 6-CADIVI Manutención Letter (only for students on OPT) Academic Year:_________ 3. Delivery Method Please select one: Hold for pick up at the Office of International Students and Scholars Hold for pick up at the Office of International Students and Scholars (Manutención Letter only) I authorize _________________________________________________________to pick up the document on my behalf at the OISS. Mail to: ______________________________________________________________________________________________________ ____________________________________________________________________________________________________________ NSU will use Regular US mail to send this document. International deliveries will be at the student’s expense (your account will be charged accordingly) and documents will be sent via FedEx. Allow 3-5 business days for documents to be ready. 4. Student Certification ___________________________________________________________________________ ___________________ Student’s Signature Date ********************************************************************************************************************************* Received by (Name and Signature)____________________________________________on ________________ Sent via_____________________________by (Name)____________________on ___________________ CADIVI 7/23/2014 1 of 2 Comisión de Administración de Divisas (CADIVI) Request Form The Comisión de Administración de Divisas (CADIVI) is the Venezuelan government body which administers currency exchange in Venezuela. Each term, Venezuelan students must provide multiple documents to CADIVI in order to trade Bolίvares Fuertes (VEF) into U.S. dollars (USD) for payment to Nova Southeastern University (NSU). NSU strives to make the CADIVI process as simple as possible for Venezuelan students; however, CADIVI may make changes to its processes at any time. It is the student’s responsibility to be knowledgeable about CADIVI requirements. For more information, visit www.cadivi.gob.ve. Instructions Venezuelan students must use the CADIVI Request Form (next page) to request the following CADIVI documents: Document # 1: CADIVI Letter (Constancia de Estudio) Document # 2: CADIVI Tuition Invoice (Factura pro-forma) These documents attest to NSU charges and must be submitted upon registration. Document # 3: CADIVI Letter of Receipt (Recibo) Document # 4: ire ransfer Information etter ( arta con n úmero de giro) These documents attest to receipt of payment by NSU. Document # 5a: CADIVI Registration Verification(Constancia de Registro para término futuro) Document # 5b: CADIVI Enrollment Verification (Constancia de Registro del término en curso) Document # 5b: Verfication of Term Completion (Constancia de Término Completo) Document # 6: CADIVI Manutención Letter (only for students on OPT) To request any of the documents listed above, please submit this request form as follows: in person to the Office of International Students and Scholars at the Horvitz Building via email to intl@nova.edu via fax to (954) 262-3846 Please note: This form must be submitted EVERY TERM. CADIVI documents will be notarized and will only attest to the information in NSU’s systems. CADIVI requests will be processed within 3-5 business days. For questions regarding the CADIVI process at NSU, please contact the Office of International Students and Scholars at (954) 262-7240. CADIVI 7/23/2014 2 of 2