Deposit Amount     Polish złoty (PLN)
Expiration Date     DD/MM/YYYY
Merchant Name    
CGI Reference Number

Instructions for Visa Applicants

  • This deposit slip must be used to make your visa fee payment to Moje Rachunki before the expiration date, as noted above.
  • Print one copy of this deposit slip and submit it along with your visa fee payment.
  • Your visa fee is dependent on the type of visa for which you are applying. Please verify that the visa type displayed above is correct before making your payment.
  • Once you have paid your visa fee, please return to http://www.ustraveldocs.com/ You will need to enter the 14 digit transaction reference, as displayed on your receipt.
  • if you have any issues, please visit http://www.ustraveldocs.com/ and click CONTACT US to submit an inquiry.
  • Your visa fee payment is non-refundable and must be paid in Polish złoty (PLN).
  • Your visa fee payment receipt is non-transferable and therefore cannot be used by anyone else.