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US Green Card Registration










How to Apply: DV Lottery Entry Form


STEP 1

Fill out online application


Complete our easy online application and pay with credit/debit card





STEP 2

Receive completed application form via email


No need to figure out how to fill the form. We do it for you so you don’t lose valuable time.





STEP 3

Go to your corresponding Consulate

Together with your Complete form, we will provide a Preparation guide to help you obtain your visa.


US 2024 Diversity Lottery Application Form

General Information

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First Name*
Middle Name
Last Name*
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Date of Birth*
Passport Number *
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Confirm Passport Issue Date *
Passport Expiry Date *
What is your highest qualification?*

Select Nationality *
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Enter Your Email Address


Enter Your Phone Number
Enter Your Residential Address *
Kindly ensure your address is correct
City of Residence *
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marital status*
Spouse First Name*
Spouse Middle Name
Spouse Last Name*
Spouse Date of Birth*
Spouse City/Town of Birth*
Spouse Country of Birth Name*

Children Information


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Upload your international passport data page showing your Date of Birth clearly *

Files must be less than 5 MB.
Allowed file types: jpg jpeg png.
Upload your passport photo showing your face clearly *

Files must be less than 5 MB.
Allowed file types: jpg jpeg png.
I am aware that the result of the DV lottery will be made known in May 2023. *


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