4/8/2016

ApplyforaU.S.Visa|ReceiptforPayment

CASHPAYMENTOFUSVISAFEES
CGIREFERENCENUMBER:

730139309292

VISATIER(14):

USDOLLARAMOUNT:

$160

INSTRUCTIONSFORAPPLICANTS
1.ThisadviceslipmustbeusedtomakeyourVisaFeepaymentatCitibank/AxisBank
branches.
2.TheVisaFeeamountshallbepaidinIndianRupees(INR).Thecorrectexchangeratecanbe
obtainedfromthetelleratthebankbranchwherethedepositisbeingmade.
3.Eachapplicantmustmakeonlyonevisafeepaymentperadviceslip.Printonecopyofthis
adviceslipandsubmititatCitibank/AxisBankbranchtocompletepayment.
4.TheVisaFeeisdependentonthetypeofvisaforwhichyouareapplying.Verifythe"VisaTier"
containsthecorrectUSDequivalentamount(paymentisinINR).
5.Oncethepaymenthasbeenmade,youmayreturntohttp://portal.ustraveldocs.com/andenter
thebankreferencenumberprovidedinyourbankreceipt(nottheadviceslip).
6.Foranyissues,pleasevisithttp://www.ustraveldocs.com/in/index.htmlandclickCONTACT
UStosubmitaninquiry.
7.VisafeepaymentsarenonrefundableandmustbepaidinINR
8.Visafeereceiptisnontransferableandcannotbeusedforotherperson.

INSTRUCTIONSFORBANKTELLERS
1.PleaseverifytheCGIReferencenumberanddollaramountandcollectthecorrectINR
amountcorrespondingtotheCGIreferencenumber.
2.PleaseRETAINthisadviceslipandissuetheapplicantapaymentacknowledgement.
3.Thepaymentacknowledgementmustcontainabankreferencenumber.
http://www.ustraveldocs.com/in/indiaDepositSlipCiti.html?rnum=730139309292

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4/8/2016

ApplyforaU.S.Visa|ReceiptforPayment

www.ustraveldocs.com

http://www.ustraveldocs.com/in/indiaDepositSlipCiti.html?rnum=730139309292

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