1. Name:
- Last/family name,
- First name,
- Middle name – exactly as it appears on yourpassport, if you have a passport (for example, if your passport shows only your first and last/family name, please list your last/family name and then first name; do not include a middle name unless it is included on your passport. If your passport includes a first, middle and last/family name, please list them in the following order: last/family name, first name, middle name). If you have only one name, it must be entered in the last/family name field.
Gender – male or female.
Birth date – day, month, year.
City where you were born.
Country where you were born – Use the name of the country currently used for the place where you were born.
Country of eligibility for the DV program – 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 or your nationality if it is different from your country of birth. If you were born in a country that is not eligible,
Entrant photograph(s) – Recent photographs (taken within the last six months) of yourself, your spouse, and all your derivative children included on your entry.You do not need to include a photograph for a spouse or child who is already a U.S. citizen or a Lawful Permanent Resident, but you will not be penalized if you do.
DV entry photographs must meet the same standards as U.S. visa photos. You will be ineligible for a DV if the entry photographs for you and your family members do not fully meet these specifications or have been manipulated in any way. Submitting the same photograph that was submitted with a prior year’s entry will make you ineligible for a DV.
Mailing Address:
– In Care Of Address Line 1 Address Line 2
City/Town District/Country/Province/State Postal Code/Zip Code Country
Country where you live today.
Phone number (optional).
Email address – An email address to which you have direct access and will continue to have direct access through May of the next year. If you check the Entrant Status Check in May and learn you have been selected, you will later receive follow-up email communication from the Department of State with details if an immigrant visa interview becomes available. The Department of State will never send you an email telling you that you have been selected for the DV
Highest level of education you have achieved, as of today:
(1)Primary school only,
(2) Some high school, no diploma,
(3) High school diploma,
(4) Vocational school,
(5) Some university courses,
(6) University degree,
(7) Some graduate- level courses,
(8) Master’s degree,
(9) Some doctoral-level courses, or
(10) Doctorate.
Current marital status:
(1) Unmarried,
(2) Married and my spouse is NOT a U.S. citizen or U.S. Lawful Permanent Resident (LPR),
(3) Married and my spouse IS a U.S. citizen or U.S. LPR,
(4) Divorced,
(5) Widowed, or
(6) Legally separated. Enter the name, date of birth, gender, city/town of birth, and country of birth of your spouse, and a photograph of your spouse meeting the same technical specifications as your photo.
Failure to list your eligible spouse or, listing someone who is not your spouse, will make you ineligible as the DV principal applicant and your spouse and children ineligible as DV derivativeapplicants. You must list your spouse even if you currently are separated from him/her, unless you are legally separated. Legal separation is an arrangement when a couple remain married but live apart, following a court order. If you and your spouse are legally separated, your spouse will not be able to immigrate with you through the DV program. You will not be penalized if you choose to enter the name of a spouse from whom you are legally separated. If you are not legally separated by a court order, you must include your spouse even if you plan to be divorced before you apply for the Diversity Visa, or your spouse does not intend to immigrate.
Number of children–List the name, date of birth, gender, city/town of birth, and country of birth for all living, unmarried children under 21 years of age, regardless of whether they are living with you or intend to accompany or follow to join you, should you immigrate to the United States. Submit individual photographs of each of your children using the same technical specifications as your own photograph.
Be sure to include:
o all living natural children,
o all living children legally adopted by you and,
o all living step children who are unmarried and under the age of 21 on the date of your electronic entry, even if you are no longer legally married to the child’s parent, and even if the child does not currently reside with you and/or will not immigrate with you.
Married children and children who are already aged 21 or older when you submit your entry are not eligible for the DV program. However, the Child Status Protection Act protects children from “aging out” in certain circumstances. if you submit your DV entry before your unmarried child turns 21, and the child turns 21 before visa issuance, it is possible that he or she may be treated as though he or she were under 21 for visa processing purposes.