| 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
|
|
| Place
of Birth |
|
Native
Country
View
Details |
|
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
View
Details
|
|
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. |
|