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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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If you need to go
back and make a correction, DO NOT use the back button on
your browser. Instead use the appropriate button here or
below:
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Part
Two - Dependents
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13.
Spouse 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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13d.
Birth Date
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13e.
Gender
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Male
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Female
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13f.
City Where You Were Born
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Birth
City/Town Unknown
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13g.
Country Where You Were Born
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13h.
Spouse Photograph
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Photographs must be
submitted at the time of E-DV entry.
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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14.
Child #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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14d.
Birth Date
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14e.
Gender
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Male
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Female
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14f.
City Where You Were Born
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Birth
City/Town Unknown
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14g.
Country Where You Were Born
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14h.
Child Photograph
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Photographs must be
submitted at the time of E-DV entry.
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
|
|
|
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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PRIVACY ACT AND
PAPERWORK REDUCTION ACT STATEMENTS
The information asked for
on this form is requested pursuant to Section 222 of the
Immigration and Nationality Act. The U.S. Department of State
uses the facts you provide on this form primarily to determine
your eligibility for a U.S. immigrant visa. Individuals who fail
to submit this form or who do not provide all the requested
information may be denied a U.S. immigrant visa. If you are
issued an immigrant visa and are subsequently admitted to the
United States as an immigrant, the Bureau of Citizenship and
Immigration Services will use the information on this form to
issue you a Permanent Resident Card, and, if you so indicate, the
Social Security Administration will use the information to issue
you a social security number and card.
*Public
reporting burden for this collection of information is estimated
to average 30 minutes per response, including time required for
searching existing data sources, gathering the necessary data,
providing the
information required, and reviewing the final
collection. In accordance with 5 CFR 1320 5(b), persons are not
required to respond to the collection of this information unless
this form displays a currently valid OMB control number. Send
comments on the accuracy of this estimate of the burden and
recommendations for reducing it to: U.S. Department of State
(A/ISS/DIR) Washington, D.C. 20520.
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