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Sevis Coupon

This document is a payment coupon for the SEVIS I-901 fee of $350, which international students must pay before applying for certain visa types. It provides instructions for paying by mail via check or money order, or in person at Western Union. The recipient is Sourougnon Godwill Dah from Benin, with a SEVIS identification number of N0031611439. It lists the required payment and contact information, as well as terms stating the fee is non-refundable.

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18 views1 page

Sevis Coupon

This document is a payment coupon for the SEVIS I-901 fee of $350, which international students must pay before applying for certain visa types. It provides instructions for paying by mail via check or money order, or in person at Western Union. The recipient is Sourougnon Godwill Dah from Benin, with a SEVIS identification number of N0031611439. It lists the required payment and contact information, as well as terms stating the fee is non-refundable.

Uploaded by

miganlyndarachidatou
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Department of Homeland Security - Form I-901 Application - Payment Coupon

Student and Exchange Visitor Program: SEVIS I-901 Fee


Coupon Number: 010282020737641
Name
Student/EV First Name SOUROUGNON GODWILL
Student/EV Last Name DAH
Address
Street Address or P.O. Box QUARTIER KPODEDJI AZOWLISSE
Street Address (continued) MAISON DAH
City ADJOHOUN OUEME
State (For a US address only)
Country BENIN
Zip or Postal Code 0
Email Address [email protected]
Payment Information
Total Amount Due $350.00
SEVIS Identification Number N0031611439

PAYMENT BY MAIL
• Make check/money order payable to "I-901 Student/Exchange Visitor Processing Fee"
• Write your SEVIS ID number on the check/money order
• Print this page and mail it with your check/money order to the address below

Regular Mail Courier Address


I-901 Student/Exchange Visitor Processing Fee I-901 Student/Exchange Visitor Processing Fee
P.O. BOX 970020 or 1005 Convention Plaza
St. Louis, MO 63197-0020 St. Louis, MO 63101

TERMS AND CONDITIONS


Payment must be made by international money order or foreign draft drawn on a financial institution in the U.S. and payable in U.S.
currency. All checks returned undeliverable are subject to a $30.00 collection fee. Failure to send in the payment coupon along with the
correct payment will result in a delay in processing. SEVP is not responsible for lost mail. Fees will not be refunded.

PAYMENT BY WESTERN UNION


• Print this coupon and take it to your local Western Union (visit www.westernunion.com to find the nearest location to you)
• Present this coupon and your payment to the Western Union Agent
• Payment will be linked to the Form I-901 and your online Payment Confirmation will be available immediately at www.fmjfee.com

Western Union Form Fields (Required)


Company Name (or Code City): SEVISFEE
Account Number: 010282020737641
Amount: $350.00

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