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Aining (OPT) OMB CONTROL NO. 1653-0054 EXPIRATION DATE: 03/31/2019 SECTION 1: STUDENT INFORMATION (Com pleted by Student) Student Name (Surname/Primary Name, Given Name): Student Email Address: LAST NAME, FIRST NAME BOB.SMITH SJSU.EDU Name of School Recommending STEM OPT: Name of School Where STEM Degree Was Earned: SEVIS School Code of School Recommending STEM OPT (including 3-digit suffix): San Jose State University San Jose State University SFR214F00627000 Designated School Official.

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