ELECTRONIC
DIVERSITY VISA ENTRY FORM
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Approved
OMB 1405-0153
Expires: 04/30/2007
Estimated Burden:
30 minutes
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Part One
- Applicant Information
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1. Name
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a. Last/Family Name
No
Last/Family Name
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b. First Name
No
First Name
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c. Middle Name
No
Middle Name
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2. Birth
Date
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3. Gender
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Male
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Female
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4. City
Where You Were Born
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Birth
City/Town Unknown
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5.
Country Where You Were Born
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6.
Country of Eligibility for the DV Program
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Are you claiming
eligibility based on your Birth Country?
Yes
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No
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Your country of eligibility
will normally be the same as your country of birth. Your
country of eligibility is not
related to where you live. If you were born in a country that
is not eligible for the DV program, please go to (Explanation
of Country of Eligibility)
to see if there is another option available in your case.
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If not, you must enter the
country from which you are claiming eligibility.
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7.
Entrant Photograph
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Photographs that do not comply
with all specifications, including but not limited to recency
of the photos, composition of the photos, and unacceptable
backgrounds are grounds for disqualification of the entire
entry. Any manipulation of photographs that alters the facial
characteristics is grounds for disqualification of the entire
entry. See examples on the Photo
Validation
page.
Please refer to the
Instructions for the 2008 Diversity Immigrant Visa Program
(DV-2008) for technical specifications and compositional
specifications for the digital image.
You will use one of the
following methods to enter the image into eDV:
Link
to photo instructions/photo validation page
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Photograph File Name
If you
know the location in the computer and the name of the file
which is storing the photograph, enter in the box to the left
of(the) "Browse" button. If you are not sure of the
location in the computer or the name of the file, clicking the
"Browse" button will allow you to look for and
choose the file which is storing the photograph, and after you
choose the file its name will appear in the box on the left.
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8.
Mailing Address
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8a. In Care Of
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8b. Address Line 1
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8c. Address Line 2
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8d. City/Town
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8e.
District/County/Province/State
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8f. Postal Code/Zip Code
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No
Postal Code/Zip Code
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8g. Country
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(NOTE: This is the
address that will be used to notify you if you are
selected.)
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9.
Country Where You Live Today
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10.
Phone Number
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Optional
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11.
E-mail Address
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Electronic delivery of DV
correspondence may be offered in the near future. Please enter
an email address in the box below if you would prefer to
receive correspondence electronically.
Optional
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12. Select the highest level of education you have achieved,
as of today.
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Primary
school only
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Some
Graduate Level courses
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High
School, no degree
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Masters
Degree
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High
School degree
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Some
Doctorate level Courses
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Vocational
School
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Doctorate
Degree
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Some
University Courses
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University
Degree
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You must have a minimum of a
high school diploma reflecting the completion of a full course
of study (vocation schools or equivalency degrees are not
acceptable) or be a skilled worker in an occupation that
requires at least two years of training or experience to
qualify(see http://online.onetcenter.org/ to see if your
occupation qualifies) for a Diversity Visa.
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13.
What is your current marital status?
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Unmarried
(no spouse info
required)
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Married
(spouse info
required)
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Divorced
(no spouse info
required)
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Widowed
(no spouse info
required)
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Legally
Separated (no
spouse info required)
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Legal separation means that
a court has formally declared that you and your spouse are
legally separated. Legal separation means that your spouse
would not be eligible to immigrate as your derivative.
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14.
Number of Children
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Children include all
biological children, legally adopted children, and
stepchildren
regardless of
whether they live with you and/or intend to apply for a visa
as your derivative
who are
unmarried and under the age of 21 on the date that you submit
your entry. Failure to include all children or inclusion of
children who are not your biological children, legally adopted
children, and stepchildren is grounds for disqualification of
the entire entry.
Legal Permanent Residents
(LPR) and American Citizens should not be included.
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