Application Instructions.
1) Name.
2) Gender.
3) Birth date.
4) City Where You Were Born.
5) Country Where You Were Born.
6) Country of Eligibility for DV program.
7) Passport.
8) Entrant Photograph.
9) Mailing Address.
10) Country Where You Live Today.
11) Phone number.
12) E-mail Address.
13) Education.
14) Marital Status.
15) Number of Children.
1) Name.
The first and last names must be written as they appear in the passport, Birth Certificate and Academic Certificates.
2) Gender.
3) Birth date.
In the next columns, you must enter your gender and date of birth.
4) City Where You Were Born.
Enter the information from your birth certificate. Find the official spelling of the city's name in English. If your hometown has changed its name, it is best to use both the old and new versions, hyphenated (for example- Tashi Gang to Trashi Gang)
If your place of birth is unknown and not listed on your birth certificate, indicate it in the form.
5) Country Where You Were Born.
Select your country of birth from the list.
6) Country of Eligibility for DV program.
If you were born in a country whose citizens are eligible to participate in the lottery, this section is exempt. If your country is not on the lottery eligibility list, there are 2 options:
- Assign yourself to either parent's country of birth,
- Assign yourself to your spouse's country of birth. If you win, both spouses must arrive for the visa interview.
7) Passport.
Enter the data of a valid international passport. (Not needed for 2025)
8) Entrant Photograph
Digital image
In JPEG (.jpg) file format
Equal to or less than 240 kB (kilobytes) in file size
In a square aspect ratio (height must equal width)
600x600 pixels in dimension
Digital image requirements
Baby or toddler
-Lay your baby on his or her back on a plain white or off-white sheet.
Make certain there are no shadows on baby's face,
-Cover a seat with a plain white or off-white sheet and take a picture.
9) Mailing Address.
It is desirable to choose the address of your primary residence. If you do not have your own address at the moment, you can enter the data of your relative or friend (in this case, write your name in the In Care of field).
10) Country Where You Live Today.
Provide up-to-date information.
11) Phone number.
12) E-mail Address.
Enter your email address. Indicate a valid email address, which you are going to use for at least one more year. We recommend that you copy and paste this address.
13) Education.
You should indicate only your completed education and its level. If you have a secondary vocational or technical education, indicate how many grades you have completed. If you win, you will need to provide all diplomas and certificates.
14) Marital Status.
Provide a legally documented marital status at the time of application. Single/unmarried status is indicated only if there are no previous marriages.
15) Number of Children.
You must list all of your unmarried children under the age of 21, regardless of where they live or their intention to immigrate to the United States.
This is the end of the Green Card DV lottery application form for those who do not have a spouse and children.
If you indicated a spouse or children, then the second part of the application will open.You will need to consistently provide photos and data on each of the family members.
