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efta-efta01207756DOJ Data Set 9OtherIts I5:2015
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DOJ Data Set 9
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efta-efta01207756
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Its I5:2015
Department of Homeland Security Form I-901 Application Confirmation
Student and Exchange Visitor Program: SEVIS 1-901 Payment Confirmation
Please print the Payment Confirmation for your records. Reference the confirmation number B88:6015 85465 on all inquiries related to
your 1-901 status. You may be required to produce your payment confimution for your visa issuance, admission to any United States
port of entry, for any change of non-immigrant unto', or other United States immigration benefits.
When you go to the Consulate fox your visa, you should bring your payment continuation 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 1901 FEE 800-375.5283 VT
Department of Homeland Security
S. Immigration and Customs Enforcement
Notice of Action
UNITED STATES OF AMERICA
CONFIRMATION NUMBER:
PAYMENT DATE:
Oct 15,2015
NAME AND ADDRESS:
MELINA MAMIE
CASL TYPE:
1.901 Fee Remittance Form for F-I, F-3, M-I. M-3 and
Noe-
Immimants.
APPLICANT:
NOTICE TYPE:
Receipt Notice
EMAII. ADDRESS:
MFI.INA DIAKIIE
Your Form 1901 Application and Fee have been 'teemed Please notify an immediately if any of the above information is ineom.s.s.
'This fee payment as valid only for your particular course of study or point-m.1f you fall out of status, apply fora new F-I. F 3, S.1- I , M-
3 or
Non-immigrant visit, or if you want to change your Non-immigrant esteemv to nn
F-3,
, M-3 ck 1-1, you may be
required to pay another fee.
APPLICANT STATUS:
DATE OF BIRTH:
PROGRAM NUMBER: P305214
EXCHANGE VISITOR CATEGORY: AU PAIR
AMOUNT RECEIVED:
SEVIS IDENTIFICATION NUMBER:
THIS ELECTRONIC RECEIPT S11 A IL BE USED AS EVIDENCE OF PAYMENT
1-901 Studetattchangc Visitor Proceming Fee
P.O. Boa 970020
St. LAMAS, MO 63197-0020
Customer Service 'Telephone ?03.603.3401)
EFTA01207756
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Phone
603.3401Phone
800-375.5283Wire Ref
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