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Green Card Winners Green Card News Green Card Requirements Green Card Information green card lottery




green card lotterygreen card lottery
COMUNICADO DE PRENSA
 

 

 

 


 

 

                                                                               
LOTTERY APPLICATION DV-2005

  Select your country:
(Selecciona tu pais)

 NOTE: If weren't able to find your country of origen on the list, this means you don't qualified.
 NOTA: Si no encuentras tu pais en la lista de arriba, eso significa tu pais no cualifica para la loteria de visas

Name
Nombre
Last (surname/family) Name
Apellido
First Name
Nombre
Middle Name
Segundo nombre
Marital Status
Estado legal
IMPORTANT: You must list your spouse even if you are separated from your spouse or your spouse does not intend to immigrate to the U.S. with you. Failure to list spouse's details will disqualify your application.
Date of Birth
Fecha nacimiento
  Day
Month
Year
Place of Birth
Lugar de nacimiento
City/Town
Ciudad
State/Province/District
Estado/Provincia/Distrito
Country
Pais
Native Country


View Details
Select native country, only if different from country of birth
Seleccione su pais de orijen si es diferente del pais donde nacio
Spouse's country of birth
Mother's country of birth
Father's country of birth
TIP: If your country of birth is currently not eligible for DV Lottery, you still may be able to enter the lottery by claiming nativity in a country other than your place of birth.
Number of Children
(below 21 years)
Cuantos hijos menores de 21 tines
IMPORTANT: You must list all natural children, stepchildren and adopted children who are unmarried and under the age of 21, unless a child is already a U.S. Citizen or Legal Permanent Resident. Failure to list all the children will disqualify your application.
Education/
Work Experience

Educacion escolar/ experiencia de tabajo


View Details
 
Do you have a U.S. High School Degree or the equivalent of a U.S. High School Degree?
Tu tienes un diploma de High School u otro diploma equivalente?
Yes No
If No, do you have two years work experience within past five years in an occupation that requires at least two years training?
SI no tienes diploma, tienes dos años de experiencia laboral donde te ayas ocupado de un presto que requiero por lo menos entrenamiento de dos años.
Yes No
NOTE: If you answered NO to both questions, you are not eligible to participate in the Green Card Lottery.
If you are married please continue. Your spouse may be eligible to participate in the Green Card lottery as a Principal Applicant.
NOTA:Si tu respuesta es no a una de las dos preguntas echas tu no eres un participante elegible para le lotería de visas. Si eres casado continua llenando la aplicación ya que talvez tu esposo(a) si sea elegible.
 
 
  4- Name, Date and place of Birth of the applicant’s spouse and children (IF ANY):
 
Nombre, Dia y pais de nacimiento de el/los aplicantes Esposo/a e Hijos
        
  Full Name of Spouse  (Nombre completo de su esposa/o)    Date of Birth (Fecha de Nacimiento)                  Nation of Birth (País de Nacimiento en ingles)        
 
  Full Name of Child   (Nombre completo de su hijo/a)
    
Full Name of Child   (Nombre completo de su hijo/a)
    
Full Name of Child   (Nombre completo de su hijo/a)
    
Full Name of Child   (Nombre completo de su hijo/a)  

          


5- Full Mailing Address / Direccion completa
 
Mailing Address
IMPORTANT: We will use this information to contact you if your lottery application is selected. //// Nosotros usaremos esta direccion para contactarte en el caso de que seas elegido
In care of
en caso de
Street Address
Direccion y calle
Apartment #
Numero de Apartamento
City
Ciudad
State
Estado
Zip/Postal Code
Codigo Postal
Country
Pais

 

How did you hear about us?
Como supiste de nosotros?
NOTE: Enter the Affiliate code (if applicable)

 

 
  Qualifying Country (Pais que califica):

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