אזרבייג’ן

1Applicant Information

2Delivery Location

3Interview Location

4Visa Fee Information

5Review

6Payment

MRV Fee Details:
- Fees will be assigned to the applicant {applicant_name (First):15.3} {applicant_name (Last):15.6} born on {applicant_birth_day:21} in {applicant_birth_country_code:16}, at which point the applicant's information cannot be changed.
- Fees are non-refundable and non-transferable (either to another person or for use in another country).
- You may update your email address and phone number at any time.
- You may change your passport number only one (1) time after a payment has been made.
- You may NOT change the given name, surname, country that issued passport, country of birth, date of birth, or gender associated to your applicant profile after paying your visa fee.
Visa Fees are as follow:
1. Booking Fee: USD$165 per Applicant - Covers processing into U.S. Embassy records.
2. MRV Fees:
  - USD$185 for (B1/B2)(J),(F),(M),(I), (C1/D) visas.
  - USD$205 for (H), (L), (O), (P), (Q), or (R) visas.
  - USD$315 for all E category nonimmigrant (E-1), (E-2) visas.
All Visa applicants, including children, are required to pay a non-refundable and non-transferable Nonimmigrant Visa (MRV) application fee. Payment of the Visa application fee is required whether or not an application results in the issuance of a U.S. Visa.
Terms of Service*
I confirm that the information provided on this form is correct and accurate to the best of my knowledge.

I have read and agreed with the Disclaimer, the Terms and Conditions and the No Refund Policy and understand that this is a third-party processing.

If a cardholder attempts to falsely report that a transaction was fraudulent and requests a chargeback of an application fee, the US Embassy will be informed of the same. It may result in cancellation of any visas already scheduled.
- I agree to the Terms of Service
Please Confirm Visa Class*

Total
$0.00
E-Signature of Applicant*
First Last
Please type the applicant's name
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Cardholder Phone Number*
Phone number of the person paying for the appointment.
Cardholder Email Address*
Enter Email Confirm Email

Email address of the person paying for the appointment.
E-Signature of Cardholder*
First Last
Signature of the person paying for the appointment.
Relationship with Applicant*
Relationship that you have with the visa applicant.
Cardholder Signature*
Signature of the person paying for the appointment.
Consent and Authorization*
I certify under penalty of perjury under the laws of the United States of America that the foregoing is true and correct. I acknowledge and approve that entering my name in the signature field legally replace my physical signature.

I understand that by providing this authorization, I am consenting to UVA managing these processes on my behalf, and I confirm that I am fully responsible for any charges incurred as part of this service. I acknowledge that UVA is not affiliated with the United States government. I hereby authorize UVA to act on my behalf to make appointments and pay the non-refundable MRV fee for the purpose of this transaction.
- I Consent and Authorize this transaction.

אזרבייג’ן

Azerbaijan U.S. Interview

Important Information

MRV Fee Details:

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