All of the information which I provided to the University of Missouri-St. Louis, Office of International Student Services, on the application via World Wide Web is complete and accurate. I request permission for enrollment.
| ______________________________________ (Signature) |
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| _________________________________________ (Please print: Family Name, First Name, Middle Name) |
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University
of Missouri- St. Louis
Office of International Student
Services
One Universit Blvd. (221MC) 261 MSC
St. Louis, MO 63121-4299