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Part
I: PREPARING THE APPLICATION
Only ONE Application per person
Use plain paper and type or clearly print in the English alphabet
The application MUST be signed by the APPLICANT
Include the following information in the Application:
(1) Your full name with last/surname underlined:
Reyes, Julia Lopez
Ali, Mohamed Hussein
(2) Your date and place of birth:
Date: DAY/MONTH (spelled out)/YEAR
Example:
23 DECEMBER 1976
Place
of birth: City State/Province Country
Example:
MUNICH BAVARIA GERMANY
(Use the CURRENT name for the country in which you were born)
(3) Your native country, if OTHER than your country of birth
(4) Name, Date of Birth, Place of Birth of Spouse and Children
(5) Full Mailing Address (Telephone Number if Available)
(6) Recent Photographs (less than 6 months old) of the Applicant,
the Spouse and ALL children (including legally adopted and stepchildren)who
are unmarried and under the age of 21
1.5 inches to 2 inches (37-50 mm) square in size
Applicants names and dates of birth must be printed on the back
The persons in the photos must be facing forward, covering 50% of
the area of the photo, in front of a light backgroun, face must be
in focus, no hats or dark glasses, only religious head coverings allowed
but not obscuring the face.
Attach the photographs to the entry with clear tape
(7) Signature of the Principal Applicant
This MUST be signed (with a full signature) by the applicant, otherwise
the application will be rejected
PART II: MAILING INSTRUCTIONS
Send the application by regular postal service mail: do not send by
certified or registered mail, Fedex, etc.
Send the application in an envelope which is between 6 inches and
10 inches (15 cm to 25 cm) in length and between 3 1/2 inches and
4 1/2 inches (9 cm to 11 cm) in width.
No postcards
Envelope return address: In the upper left hand corner must
list the country of which the applicant is a native, followed by the
applicant’s full name and return address, including the country of
address, even if the country listing is the same. See the example
below:
MAILING ADDRESS:
(VERY IMPORTANT: SEE ADDRESS INFORMATION BASED ON REGION)
USA
Note carefully the importance of using the correct address for
each region. See the list below to determine in which category
your country belongs.
(1) AFRICA: DV Program, Kentucky Consular Center, 1001 Visa Crest
Migrate, KY 41901-1000 U.S.A.
(2) ASIA: DV Program, Kentucky Consular Center, 2002 Visa Crest,
Migrate, KY 41902-2000 U.S.A.
(3) EUROPE: DV Program, Kentucky Consular Center, 3003 Visa
Crest, Migrate,, KY 41903-3000, U.S.A.
(4) SOUTH AMERICA: DV Program, Kentucky Consular Center, 4004
Visa Crest, Migrate, KY 41904-4000, U.S.A.
(5) OCEANA: DV Program, Kentucky Consular Center, 5005 Visa
Crest, Migrate, KY 41905-5000, U.S.A.
(6) NORTH AMERICA: DV Program, Kentucky Consular Center, 6006
Visa Crest, Migrate, KY 41906-6000, U.S.A.
(1) AFRICA · Algeria
· Angola
· Benin
· Botswana
· Burkina Faso
· Burundi
· Cameroon
· Cape Verde
· Central African Republic
· Chad
· Comoros
· Congo
· Congo, Democratic Republic of the
· Cote d'Ivoire (Ivory Coast)
· Djibouti
· Egypt
· Equatorial Guinea
· Eritrea
· Ethiopia
· Gabon
· Gambia, The
· Ghana
· Guinea
· Guinea-Bissau
· Kenya
· Lesotho
· Liberia
· Libya
· Madagascar
· Malawi
· Mali
· Mauritania
· Mauritius
· Morocco
· Mozambique
· Namibia
· Niger
· Nigeria
· Rwanda
· Sao Tome and Principe
· Senegal
· Seychelles
· Sierra Leone
· Somalia
· South Africa
· Sudan
· Swaziland
· Tanzania
· Togo
· Tunisia
· Uganda
· Zambia
· Zimbabwe
(2) ASIA · Afghanistan
· Bahrain
· Bangladesh
· Bhutan
· Brunei
· Burma
· Cambodia
· China-mainland and Macau (not eligible for DV-2003)
· China-Taiwan
· Hong Kong Special Administrative Region
· India (not eligible for DV-2003)
· Indonesia
· Iran
· Iraq
· Israel
· Japan
· Jordan
· Korea, North
· Korea, South (not eligible for DV-2003)
· Kuwait
· Laos
· Lebanon
· Malaysia
· Maldives
· Mongolia
· Nepal
· Oman
· Pakistan (not eligible for DV-2003)
· Philippines (not eligible for DV-2003)
· Qatar
· Saudi Arabia
· Singapore
· Sri Lanka
· Syria
· Thailand
· United Arab Emirates
· Vietnam (not eligible for DV-2003)
· Yemen
(3) EUROPE · Albania
· Andorra
· Armenia
· Austria
· Azerbaijan
· Belarus
· Belgium
· Bosnia and Herzegovina (including components)
· Bulgaria
· Croatia
· Cyprus
· Czech Republic
· Denmark (including components and dependent areas overseas)
· Estonia
· Finland
· France (including components and dependent areas overseas)
· Georgia
· Germany
· Greece
· Hungary
· Iceland
· Ireland
· Italy
· Kazakhstan
· Kyrgyzstan
· Latvia
· Liechtenstein
· Lithuania
· Luxembourg
· Macedonia, The Former Yugoslav Republic of
· Malta
· Moldova
· Monaco
· Montenegro
· Netherlands (including components and dependent areas
overseas)
· Northern Ireland
· Norway
· Poland
· Portugal
· Romania
· Russia
· San Marino
· Serbia
· Slovakia
· Slovenia
· Spain
· Sweden
· Switzerland
· Tajikistan
· Turkmenistan
· Turkey
· Ukraine
· United Kingdom (not eligible for DV-2003; NOTE: natives
of Northern Ireland and Hong Kong are eligible, but natives of Anguilla,
Bermuda, British Virgin Islands, Caymen Islands, Falkland Islands,
Gibralter, Montserrat, Pitcairn, St. Helena, and the Turks and Caicos
Islands are not eligible)
· Uzbekistan
· Vatican City (an independent city under the jurisdiction
of the Holy See)
(4) NORTH AMERICA
· Bahamas, The
· Canada (not eligible for DV-2003)
(5) OCEANIA · Australia (including components and
dependent areas overseas)
· Fiji
· Kiribati
· Marshall Islands
· Micronesia, Federated States of
· Nauru
· New Zealand (including components and dependent areas
overseas)
· Palau
· Papua New Guinea
· Solomon Islands
· Tonga
· Tuvalu
· Vanuatu
· Western Samoa
(6) SOUTH AMERICA, MEXICO, CENTRAL AMERICA, and the CARIBBEAN
·
Antigua and Barbuda
· Argentina
· Barbados
· Belize
· Bolivia
· Brazil
· Chile
· Colombia (not eligible for DV-2003)
· Costa Rica
· Cuba
· Dominica
· Dominican Republic (not eligible for DV-2003)
· Ecuador
· El Salvador (not eligible for DV-2003)
· Grenada
· Grenadines
· Guatemala
· Guyana
· Haiti (not eligible for DV-2003)
· Honduras
· Jamaica (not eligible for DV-2003)
· Mexico (not eligible for DV-2003)
· Nicaragua
· Panama
· Paraguay
· Peru
· St. Kitts and Nevis
· St. Lucia
· St. Vincent and the Grenadines
· Suriname
· Trinidad and Tobago
· Uruguay · Venezuela |
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