Green Card Lottery Diversity Immigrant Visa by gabyion


									Diversity Immigrant Visa Program
                                                                                                              USGCL No.182-0003; Expires 12/31/2008
Type of Application: 7 years
Processing Fee: US$ 220                                                              Green Card Lottery Instructions

The Green Card Lottery, officially called Diversity Visa Lottery             3. Name
Program, was created for people who come from countries with low             Fill out your name in the LAST NAME / FIRST NAME order.
rates of immigration to the United States. 50,000 immigrant visas are        Example: SMITH, John
made available through this program every year. Winners are randomly
selected. Anyone who is selected under this lottery will be given the        4. Date
opportunity to apply for permanent residence. If permanent residence is      Write your date of birth in DD/MONTH/YYYY format.
granted, the individual will be authorized to live and work permanently      Example: 02 OCTOBER 1976
in the United States. You will also be allowed to bring your spouse and
any unmarried children under the age of 21 to the United States.             5. Photo Requirements
                                                                             You must include one recent photo of yourself. Don’t staple, glue or
1. Requirements                                                              attach the photo to the application form, just put it in the envelope
Make sure you meet all the requirements. Visit our website                   along with your application and payment. The photos must be for more information.                             between 1 ½ by 1 ½ and 2 by 2 inches (37-50 mm) square, with the
                                                                             name and date of birth printed on the back. The applicant must be
Citizens of almost every country in the world are eligible to enter the      directly facing the camera; the head of the person being photographed
Green Card Lottery. If you were born in one of the following countries,      should not be tilted up, down or to the side, and should cover about
you are NOT eligible:                                                        50% of the area of the photo. The photo should be taken with the
                                                                             person being photographed in front of a neutral, light-colored
- Canada                                                                     background. Photos taken with very dark or patterned, busy
- China (Hong Kong, Macao and Taiwan are eligible)                           backgrounds will not be accepted. Photos in which the face of the
- Colombia                                                                   person being photographed is not in focus will not be accepted. Photos
- Dominican Republic                                                         in which the person being photographed is wearing sunglasses or other
- El Salvador                                                                paraphernalia which detracts from the face will not be accepted. Photos
- Great Britain its dependent territories                                    of applicants wearing head coverings or hats are only acceptable due to
(Northern Ireland and Ireland are eligible)                                  religious beliefs, and even then, may not obscure any portion of the
- Haiti                                                                      face of the applicant. Photos may be either color or black and white.
- India
- Jamaica                                                                    6. Processing Fee
- Mexico                                                                      You must submit the payment with your application. We accept:
- Pakistan                                                                   - Money orders
- Philippines                                                                - Checks from United States banks
- Russia                                                                     - Travelers checks in U.S. dollars
- South Korea                                                                - US dollars cash
- Vietnam
                                                                             Make checks, money orders and travelers checks payable to
If you were born in an ineligible country, you may still enter the lottery   “IMMIGRATION SERVICES INTERNATIONAL”. If you are
if your spouse (legally married husband or wife) or one of your parents      paying in US dollars cash please mail your application and the
were born in an eligible country. On the application form write either       processing fee in the same envelope as registered or insured mail to
your parent/spouse's country of birth as your "Native Country", in order     guarantee delivery.
to qualify. For example, if you were born in Canada (an ineligible
country), but your spouse or one of your parents were born in Ireland        7. Questions
(an eligible country), you can enter the Green Card Lottery. On the          Feel free to contact us at if you require
application form, write "Canada" as your "Country of Birth" and in this      any further assistance with your Green Card Lottery application.
example "Ireland" as your "Native Country", applying this way
qualifies you to enter the Green Card Lottery.                               8. Mail Application to
                                                                              Immigration Services
You must also meet the educational requirements. Please visit;                211 South St. #334
www. for more information                              Philadelphia, PA 19147
                                                                              United States
2. Application Form
Fill out the application form attached. Type, or print clearly in English
(Roman alphabet) with black or blue ink. Answer all questions.
Failure to provide all necessary information will disqualify your
Diversity Immigrant Visa Program
                                                                                                                  USGCL No.182-0003; Expires 12/31/2008
Type of Application: 7 years
Processing Fee: US$ 220                                                                  Green Card Lottery Application
START HERE – Please Type or Print
Part 1. Personal Information
 Family Name:

 First Name:


 City:                                               State:

 Zip Code:                                           Country:

 Email Address:

 Part 2. Payment Information (please check one)                                                                      Processing Fee: US$ 220

  ___ Money Order

  ___ Check from U.S. Bank

  ___ Cashier's Check or Bank Draft

  ___ Travelers Checks

  ___ US Dollars Cash

  Make checks and money orders payable to “ IMMIGRATION SERVICES INTERNATIONAL”

 Part 3. Terms and Conditions
 I agree to pay "Immigration Services" US$220 for services related to the preparation and submission of my Diversity Immigrant Visa Program (Green
 Card Lottery) application. This is not a U.S. government offical immigration form. I acknowledge that "Immigration Services" is not a government
 agency. I further acknowledge that the US Government does not charge an application fee. To guarantee that your application is prepared correctly and
 filed on time, "Immigration Services" charges a nominal fee to cover administrative and processing expenses incurred in conjunction with the careful
 preparation and submission of your lottery application. I acknowledge that the "Immigration Services" does not guarantee that I will receive a Green
 Card, but only provides me with an opportunity to participate in the Green Card Lottery. Because this is a lottery program, I understand that I cannot
 claim a refund for fees paid to process my application.

 ____________________________________________                                                                        ______________________
 Signature                                                                                                           Date

            Family Name                                           First                                   Middle

2. DATE OF BIRTH:                                                         [ DAY – MONTH – YEAR format ]

  PLACE OF BIRTH: ____________________________________________                            [ City/Town, District/Province, Country ]

3. APPLICANT’S NATIVE COUNTRY: ( if different from country of birth)



                     Family Name                          First                             Middle

                Day - Month - Year                                            City, State, Country

Unmarried children under 21 years of age (if any):

Child 1:
                       Full Name                     Date of Birth (Day/Month/Year)            Place of Birth (City, State, Country)

Child 2:
                       Full Name                     Date of Birth (Day/Month/Year)            Place of Birth (City, State, Country)

Child 3:
                       Full Name                     Date of Birth (Day/Month/Year)            Place of Birth (City, State, Country)

Child 4:
                       Full Name                     Date of Birth (Day/Month/Year)            Place of Birth (City, State, Country)

Child 5:
                       Full Name                     Date of Birth (Day/Month/Year)            Place of Birth (City, State, Country)

                                                                                                         6. PHOTOGRAPH
                                                                                                 Include 1 photo of yourself (and of each
                                                                                                  family member if submitting a family

                                                                                                     Between: 1.5 inches and 2 inches
                                                                                                       Between: 35mm and 50 mm

                                                                                                          Print name and
                                                                                                      date of birth on the back
                                                                                                     Please DO NOT staple or attach

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