Daniel Beregovoy, a citizen of Switzerland, came to the U.S. on an F-1 visa to attend State College, 80 East Broadway, Anytown, MO 64000. He had never been to the U.S. before arriving here on July 13, 2010.

Daniel's home address is: 73 Rue de le Boulanger, Genéve, CH (Switzerland)

His address in the U.S. is: 324 East Broadway Anytown, MO 64000

His academic director is Dr. Small. Dr. Small uses the same address as the college and his phone number is (999) 444-4444.

Daniel's social security number is XXX-XX-XXXX, and he had no income during 2011. His visa number is 17318842. His passport number is 2674130984.

Click here to open and complete Daniel's Form 8843, based on the facts provided.