I901 Payment Confirmation 11112013

Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

11/11/2013 Department of Homeland Security – Form I-901 Application – Confirmation

Student and Exchange Visitor Program: SEVIS I-901 Payment Confirmation


OMB 1653-0034 (Expires 1/31/2015)

Please print the Payment Confirmation for your records. Reference the confirmation number CCC1403074283 on all inquiries related to
your I-901 status. You may be required to produce your payment confirmation for your visa issuance, admission to any United States
port of entry, for any change of non-immigrant status, or other United States immigration benefits.

When you go to the Consulate for your visa, you should bring your payment confirmation to prove you have paid the SEVIS fee. If you
paid by credit card, this transaction will appear on your credit card bill as “US STUDENT & EV I901 FEE 800-375-5283 VT”

Department of Homeland Security

U.S. Immigration and Customs Enforcement Notice of Action

UNITED STATES OF AMERICA


CONFIRMATION NUMBER: CASE TYPE:
CCC1403074283 I-901 Fee Remittance Form for F-1, F-3, M-1, M-3 and J-1 Non-
Immigrants.
PAYMENT DATE: APPLICANT:
Oct 30, 2013 HILDON OLIVEIRA SANTIAGO CARADE
NAME AND ADDRESS: NOTICE TYPE:
HILDON OLIVEIRA SANTIAGO CARADE Receipt Notice
CLEMENTE FERREIRA STREET
N. 201, EDF. OTIN, CANELA
802
SALVADOR, BAHIA
BRAZIL
40110-200
HILDON OLIVEIRA SANTIAGO CARADE

Your Form I-901 Application and Fee have been received. Please notify us immediately if any of the above information is incorrect.

This fee payment is valid only for your particular course of study or program. If you fall out of status, apply for a new F-1, F-3, M-1, M-
3 or J-1 Non-immigrant visa, or if you want to change your Non-immigrant category to an F-1, F-3, M-1, M-3 or J-1, you may be
required to pay another fee.

APPLICANT STATUS: J-1


DATE OF BIRTH: Jun 26, 1984
PROGRAM NUMBER: P103705
EXCHANGE VISITOR CATEGORY: SHORT TERM SCHOLAR
AMOUNT RECEIVED: $180.00

SEVIS IDENTIFICATION NUMBER: N0010780020

THIS ELECTRONIC RECEIPT SHALL BE USED AS EVIDENCE OF PAYMENT

I-901 Student/Exchange Visitor Processing Fee


P.O. Box 970020
St. Louis, MO 63197-0020
Customer Service Telephone 703-603-3400

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy