11/7/2022 U.S.

VISA APPLICATION FEE DEPOSIT SLIP

U.S. VISA APPLICATION FEE DEPOSIT SLIP

‫ﻗﺴﻴﻤﺔ إﻳﺪاع رﺳﻮم ﻃﻠﺐ اﻟﺘﺄﺷﻴﺮة إﻟﻰ اﻟﻮ ﻳﺎت اﻟﻤﺘﺤﺪة ا ﻣﻴﺮﻛﻴﺔ‬

‫دﻳﻨﺎر ﻛﻮﻳﺘﻲ‬
KWD 204.800
:Deposit Amount in Kuwaiti Dinar
‫ﺗﺎرﻳﺦ اﻧﺘﻬﺎء اﻟﺼ ﺣﻴﺔ‬
12/11/2022
:Expiration Date
CGI ‫رﻗﻢ ﻣﺮﺟﻊ‬
730449669848
: CGI REFERENCE NUMBER
‫ﻣﻌﻠﻮﻣﺎت ﺛﺎﺑﺘﺔ ﻳﺘﻢ‬
‫ﺗﺰوﻳﺪﻫﺎ ﻋﻨﺪ اﻟﺘﻨﻔﻴﺬ‬
‫اﺳﻢ اﻟﺤﺴﺎب‬
MRV Payment :Account Name
Collection
Account – Kuwait

Instructions for BURGAN Branches: :‫ﺗﻌﻠﯾﻣﺎت ﻟﻔروع ﺑﻧك ﺑرﻗﺎن‬

Please confirm that the above expiration date
has not passed. In case the deposit slip has
expired, please DO NOT accept the payment
and refer the applicant to the website
http://www.ustraveldocs.com/ to create a new
deposit slip.
‫اﻟرﺟﺎء اﻟﺗﺄﻛﯾد ﻋﻠﻰ أﻧﮫ ﻟم ﯾﺗم إﻧﻘﺿﺎء ﺗﺎرﯾﺦ اﻧﺗﮭﺎء‬
‫ أﻣﺎ ﻓﻲ ﺣﺎل اﻧﻘﺿت ﻣدة‬.‫اﻟﺻﻼﺣﯾﺔ اﻟﻣذﻛور أﻋﻼه‬
‫ اﻟرﺟﺎء ﻋدم ﻗﺑول اﻟﻣﺑﻠﻎ وإﺣﺎﻟﺔ‬،‫ﻗﺳﯾﻣﺔ اﻹﯾداع‬
‫ﻣﻘدّم اﻟطﻠب إﻟﻰ اﻟﻣوﻗﻊ اﻻﻟﻛﺗروﻧﻲ‬
‫ ﻟﺧﻠﻖ‬/http://www.ustraveldocs.com
.‫ﻗﺳﯾﻣﺔ إﯾداع ﺟدﯾدة‬

Instructions for visa applicants :‫ﺗﻌﻠﯾﻣﺎت ﻟطﺎﻟﺑﻲ اﻟﺗﺄﺷﯾرة‬

https://www.ustraveldocs.com/kw/KuwaitDepositSlip.html?rnum=730449669848 1/2
11/7/2022 U.S. VISA APPLICATION FEE DEPOSIT SLIP

Instructions for BURGAN Branches: :‫ﺗﻌﻠﯾﻣﺎت ﻟﻔروع ﺑﻧك ﺑرﻗﺎن‬

This deposit slip must be used to make your
visa fee payment at any Burgan branch before
the expiration date, as noted above.
Print one copy of this deposit slip and submit it
along with your visa fee payment.
Once you have paid your visa fee, please return ‫ اﻟرﺟﺎء اﻟﻌودة‬،‫وﻋﻧدﻣﺎ ﺗﻘوم ﺑدﻓﻊ رﺳوم اﻟﺗﺄﺷﯾرة‬
to http://www.ustraveldocs.com//. You will need
to enter the CGI Reference, as displayed on
your receipt.
If you have any issues, please visit
http://www.ustraveldocs.com// and click
CONTACT US to submit any inquiry.
Your visa fee payment is non-refundable and
must be paid in Kuwaiti Dinar.
Your visa fee payment receipt in non-
transferable and therefore cannot be used by
anyone else.
Once paid, the applicant must make an
appointment. The payment shall be valid for 12
months from the date of payment.
‫ﯾﺟب اﺳﺗﺧدام ﻗﺳﯾﻣﺔ اﻹﯾداع ھذه ﻟدﻓﻊ رﺳوم‬
‫اﻟﺗﺄﺷﯾرة ﻓﻲ أي ٍ ﻣن ﻓروع ﺑﻧك ﺑرﻗﺎن ﻗﺑل ﺗﺎرﯾﺦ‬
.‫ ﻛﻣﺎ ھو ﻣذﻛور أﻋﻼه‬،‫اﻧﺗﮭﺎء اﻟﺻﻼﺣﯾﺔ‬
‫اطﺑﻊ ﻧﺳﺧﺔ واﺣدة ﻣن ﻗﺳﯾﻣﺔ اﻹﯾداع ھذه وﻗم‬
.‫ﺑﺗﻘدﯾﻣﮭﺎ ﻣﻊ ﻗﯾﻣﺔ رﺳوم اﻟﺗﺄﺷﯾرة‬
./http://www.ustraveldocs.com ‫إﻟﻰ‬
CGI) ‫ﺳﺗﺣﺗﺎج ﻹدﺧﺎل رﻗم اﻟﺗﻌرﯾف اﻟﺧﺎص‬
.‫( ﻛﻣﺎ ﯾظﮭر ﻋﻠﻰ إﯾﺻﺎﻟك‬Reference
‫ اﻟرﺟﺎء زﯾﺎرة اﻟﻣوﻗﻊ‬،‫ﻓﻲ ﺣﺎل واﺟﮭﺗك أي ﻣﺷﺎﻛل‬
‫ واﻟﻧﻘر‬/http://www.ustraveldocs.com
.‫ﻋﻠﻰ اﺗﺻل ﺑﻧﺎ ﻷي اﺳﺗﻔﺳﺎر‬
‫إن رﺳوم اﻟﺗﺄﺷﯾرة اﻟﺗﻲ ﺗدﻓﻌﮭﺎ ﻏﯾر ﻗﺎﺑﻠﺔ ﻟﻼﺳﺗرداد‬
.‫وﯾﺟب أن ﺗُدﻓﻊ ﺑﺎﻟدﯾﻧﺎر اﻟﻛوﯾﺗﻲ‬
‫إن إﯾﺻﺎل دﻓﻊ رﺳوم اﻟﺗﺄﺷﯾرة ﻏﯾر ﻗﺎﺑل ﻟﻠﺗﺣوﯾل‬
‫وﺑﺎﻟﺗﺎﻟﻲ ﻻ ﯾﻣﻛن اﺳﺗﺧداﻣﮫ ﻣن ﻗﺑل أي ﺷﺧص‬
.‫آﺧر‬
‫ ﻋﻠﻰ طﺎﻟب اﻟﺗﺄﺷﯾرة أن ﯾﺄﺧذ‬،‫ﻋﻧدﻣﺎ ﯾﺗم اﻟدﻓﻊ‬
‫ﺷﮭرا ﻣن‬
ً 12 ‫ ﺗﻛون اﻟدﻓﻌﺔ ﺻﺎﻟﺣﺔ ﻟﻣدة‬.‫ﻣوﻋدًا‬
.‫ﺗﺎرﯾﺦ اﻟدﻓﻊ‬

https://www.ustraveldocs.com/kw/KuwaitDepositSlip.html?rnum=730449669848 2/2