WELCOME TO MY DV LOTTERY SITE
PROCESS
WINNERS
Notification
After You Win
How to Settle in US
Career Path
FACTS
- INFORMATION ABOUT YOU (the applicant)
FULL NAME : __________________________________ (Last Name, Surname, or Family Name)
__________________________________ (First Name)
DATE OF BIRTH : ________________________________ (Day, Month, Year (12 November 1956)
PLACE OF BIRTH : __________________________________ (City or Town )
__________________________________ (District, County, or Province)
__________________________________ (Country)
NATIVE COUNTRY (Only if different from country of birth) : ____________________________
- INFORMATION ABOUT YOUR HUSBAND OR WIFE :
Full Name : ____________________________________ (Last Name, Surname, or Family Name)
____________________________________ (First Name)
Date of Birth : _______________________________________ (Day, Month, Year)
Place of Birth : _______________________________________ (City or Town )
_______________________________________ ( District, County, or Province)
_______________________________________ (Country)
- INFORMATION ABOUT YOUR CHILDREN
(Only list your children who are under the age of 21 and not married; attach additional sheets if necessary) :
_________________________ (Name) _________________________ (Date of Birth)
__________________________________________ (Place of Birth)
_________________________ (Name) _________________________ ( Date of Birth)
__________________________________________ (Place of Birth)
FULL MAILING ADDRESS : ----------------------
SIGNATURE : _________________________________________________________
City of Chicago, with Buckingham fountain in the foreground.
Cincinatti ,a city which never sleep.
Grand Canyon, a scenic beauty in Arizona