an approved four year university. I have provided my advisor with a copy of my admission letter and required documents.
القنصلية العامة لدولة الكويت المكتب الثقافي الكويتي لوس أنجلوس ANNUAL TICKET ALLOWANCE A: STUDENT INFORMATION (To be completed by ALL students)
Student’s Name
Cultural Office ID#
Cultural Office Advisor
Address: Phone #:
E-mail:
DEPENDENTS: Name of Spouse: Child/Children’s Name (Per regulation, 3 children maximum)
Date of Birth
B: REQUEST FOR TICKET ALLOWANCE AND STATEMENT OF GUARANTEE (Please check the applicable box) ⎕Academic Ticket Allowance: I am planning to travel to Kuwait before the term grades are available. I guarantee that I have earned a minimum of 27-30 semester/42-45 quarter hours with “C” average since my last ticket AND it has been one academic year (2 semesters/3 quarters) since my last ticket. I will repay the cost of the ticket if I fail to meet these requirements. ⎕ESL Ticket Allowance: I have successfully completed at least 1 year of ESL study and have unconditional academic admission to an approved four year university. I have provided my advisor with a copy of my admission letter and required documents.
Date Student’s Signature
2029 Century Park East, Suite 2500 | Los Angeles, CA USA 90067 | Phone: 310-746-4780 | Fax: 310-789-1159 TA-04
