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VisaPro USA Green Card Lottery Services
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All fields in Bold are mandatory
Name
Last (surname/family) Name
First Name
Middle Name
Gender
 
Marital Status
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
Day
Month
Year
Place of Birth
City/Town
State/Province/District
Country
Native Country


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Select native country, only if different from country of birth
 
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)
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


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Do you have a U.S. High School Degree or the equivalent of a U.S. High School Degree? 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? 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.



Contact Details
Email Address
Phone Number
(Area Code-Phone No.)
   Ext.
Fax Number
(Area Code-Phone No.)


Application Details
Type of Application

View Details
Family Application  -  $49 Individual Application  -  $29
TIP: If married, select Family Application and double your odds of winning the Green Card Lottery.
Are you able to print the application?
  Yes   No NOTE: If you select No, we will mail you the application.


Mailing Address
IMPORTANT: We will use this information to contact you if your lottery application is selected.
In care of
Street Address
Apartment #
City
State
Zip/Postal Code
Country


Photographs
Online
To submit digital photographs online: In the Photographs page, upload one recent 320 pixels high x 240 pixels wide photograph for yourself, your spouse and all children included in the application.

IMPORTANT: You must upload all photographs before you complete the payment.
Offline
To submit hard-copy photographs by mail: Enclose one recent 50mm x 50mm photograph of yourself, your spouse and all children included in the application. Mail the photographs and a completed application to VisaPro.
Photographs Specifications


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