10/28/2024 Department of Homeland Security - Form I-901 Application - Confirmation
Student and Exchange Visitor Program: SEVIS I-901 Payment Confirmation
Please print the Payment Confirmation for your records. Reference the confirmation number CCC2502879161 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:
CCC2502879161 I-901 Fee Remittance Form for F-1, F-3, M-1, M-3 and J-1
Non-Immigrants.
PAYMENT DATE: APPLICANT:
Oct 28, 2024 FARZANA HASAN
NAME AND ADDRESS: NOTICE TYPE:
FARZANA HASAN Receipt Notice
3/1, DC ROY ROAD, BANGSHAL,
BABU BAZAR, DHAKA 1331, EMAIL ADDRESS:
DHAKA hasanfarzana808@gmail.com
BANGLADESH
1331
FARZANA HASAN
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: F-1, F-3, M-1, or M-3
DATE OF BIRTH: Aug 13, 2000
SCHOOL CODE: BOS214F10145.000
AMOUNT RECEIVED: $350.00
SEVIS IDENTIFICATION NUMBER: N0035362819
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