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ELECTRONIC
DIVERSITY VISA ENTRY FORM
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Approved
OMB 1405-0153
Expires: 04/30/2007
Estimated Burden:
30 minutes
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If you need to go back and
make a correction, DO NOT use the back button on your
browser. Instead use the appropriate button here or
below:
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Part Two
- Dependents
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13.
Spouse Name
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a. Last/Family Name
No
Last/Family Name
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b. First Name
No
First Name
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c. Middle Name
No
Middle Name
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13d.
Birth Date
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13e.
Gender
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Male
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Female
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13f.
City Where You Were Born
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Birth
City/Town Unknown
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13g.
Country Where You Were Born
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13h.
Spouse Photograph
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Photographs that do not comply
with all specifications, including but not limited to recency
of the photos, composition of the photos, and unacceptable
backgrounds are grounds for disqualification of the entire
entry. Any manipulation of photographs that alters the facial
characteristics is grounds for disqualification of the entire
entry. See examples on the Photo
Validation
page.
Please refer to the
Instructions for the 2008 Diversity Immigrant Visa Program
(DV-2008) for technical specifications and compositional
specifications for the digital image.
You will use one of the
following methods to enter the image into eDV:
Link
to photo instructions/photo validation page
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Photograph File Name
If you
know the location in the computer and the name of the file
which is storing the photograph, enter in the box to the left
of(the) "Browse" button. If you are not sure of the
location in the computer or the name of the file, clicking
the "Browse" button will allow you to look for and
choose the file which is storing the photograph, and after
you choose the file its name will appear in the box on the
left.
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14.
Child #1 Name
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a. Last/Family Name
No
Last/Family Name
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b. First Name
No
First Name
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c. Middle Name
No
Middle Name
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14d.
Birth Date
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14e.
Gender
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Male
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Female
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14f.
City Where You Were Born
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Birth
City/Town Unknown
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14g.
Country Where You Were Born
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14h.
Child Photograph
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Photographs that do not comply
with all specifications, including but not limited to recency
of the photos, composition of the photos, and unacceptable
backgrounds are grounds for disqualification of the entire
entry. Any manipulation of photographs that alters the facial
characteristics is grounds for disqualification of the entire
entry. See examples on the Photo
Validation
page.
Please refer to the
Instructions for the 2008 Diversity Immigrant Visa Program
(DV-2008) for technical specifications and compositional
specifications for the digital image.
You will use one of the
following methods to enter the image into eDV:
Link
to photo instructions/photo validation page
|
|
|
Photograph File Name
If you
know the location in the computer and the name of the file
which is storing the photograph, enter in the box to the left
of(the) "Browse" button. If you are not sure of the
location in the computer or the name of the file, clicking
the "Browse" button will allow you to look for and
choose the file which is storing the photograph, and after
you choose the file its name will appear in the box on the
left.
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PAPERWORK REDUCTION ACT
*Public
reporting burden for this collection of information is estimated
to
average 30 minutes per response, including time required
for searching
existing data sources, gathering the necessary
data, providing the
information required, and reviewing the
final collection. In accordance with
5 CFR 1320 5(b),
persons are not required to respond to the collection of
this
information unless this form displays a currently valid OMB
control
number. Send comments on the accuracy of this
estimate of the burden and
recommendations for reducing it
to: U.S. Department of State (A/RPS/DIR)
Washington, D.C.
20520.
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