US Green Card Lottery Application form

Title
--- Mr. Ms. Dr.

Gender
--- male female

First Name (As in Passport)

Middle Name

Family/Last Name

Your phone number (Home or Mobile)

Your complete address

Date of birth (dd/mm/yyyy)

City & Country of birth

--- Afghanistan Akrotiri Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Ashmore and Cartier Islands Australia Austria Azerbaijan Bahamas,The Bahrain Bangladesh Barbados Bassasda India Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria BurkinaFaso Burma Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Clipperton Island Cocos (Keeling) Islands Colombia Comoros Congo, Democratic Republic of the Congo,Republic of the Cook Islands Coral Sea Islands Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Dhekelia Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Europa Island Falkl and Islands (Islas Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern and Antarctic Lands Gabon Gambia,The Gaza Strip Georgia Germany Ghana Gibraltar Glorioso Islands Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands HolySee (Vatican City) Honduras HongKong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica JanMayen Japan Jersey Jordan Juande Nova Island Kazakhstan Kenya Kiribati Korea, North Korea,South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta MarshallIslands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova Monaco Mongolia Montserrat Morocco Mozambique Namibia Nauru Navassa Island Nepal Netherlands Netherlands Antilles NewCaledonia NewZealand Nicaragua Niger Nigeria Niue NorfolkIsland Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paracel Islands Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda SaintHelena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa SanMarino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain Spratly Islands SriLanka Sudan Suriname Svalbard Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tromelin Island Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands Wake Island Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe

Marital status
--- unmarried married divorced widowed

Children, unmarried & born after Oct. 1st, 1990
--- 0 1 2 3 4 5 6 7 8 9

Education
--- Primary school only High school, no degree High school degree Vocational school Some University courses University degree Some graduate level courses Master degree Some doctorate level courses Doctorate degree

Qualified Work Experience
--- None Less than 2 years More than 2 years

Your Email

Photo of the applicant - (See Photo requirements)

Comments

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