APPENDIX 32 PLEDGE OF FINANCIAL SUPPORT Signed under the provisions of Section 60 of the Immigration and Deportation Act 1980

(Law of 15 December 1980). ___________ The undersigned (give full name) ., Born at (place of birth), date of birth ...., Nationality...., Profession....., Full address.., pledges to the Belgian government and to the following person (full name of student): . Born at (place of birth), date of birth ...., Nationality.., full address .., Who intends to take up residence in Belgium to study (1) Who is presently in Belgium doing studies at (name of university/school) .. (2) That (s)he will guarantee the payment of any and all expenses incurred by the above student, including but not exclusively hospital and doctors fees, tuition fees, living expenses and the cost of repatriating the student. This pledge becomes effective the day it is signed and remains valid for : the academic/school year.. the entire duration of her/his studies
(1)

The undersigned acknowledges that the present pledge extends beyond the time limit set above and that (s)he will be responsible for the cost of repatriating the above student if a deportation order is served on her/him within three months of the expiry of his/her residence permit. This pledge also extends to the students spouse and children under 18 years of age, namely: Spouse: Child(ren): Date and signature (3) Write Read and Approved

Sighted for legalisation of the signature Of . Place.. date

Signature of official, SEAL

________________ (1) Delete what is not applicable. (2) Name and correct address of educational institute organised, recognised or subsidised by the government. (3) The guarantors signature must be preceded by the words Read and approved, written in her/his hand. The signature must be legalised by the municipality or by a Belgian consular representative.