Form DS-5501 Electronic Diversity Visa Entry Lottery Form

Electronic Diversity Visa Entry Form

DS-5501 Mockup (2)

Electronic Diversity Visa Entry Form

OMB: 1405-0153

Document [pdf]
Download: pdf | pdf
AES Entry Form:

Derivatives:

After clicking Continue, Summary page with all the fields input displays:

Payment Page:

Submission Confirmation Page:


File Typeapplication/pdf
File Modified2025-06-23
File Created2025-06-23

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