U.S DIVERSITY VISA LOTTERY APPLICATION (DV-2008)
Enter information before printing
OR
print then fill
Applicant's Last Name
First Name
Middle
Date of Birth (Day/Month/Year)
Place of Birth (City/Town, Country)
Male
Female
Unmarried;
Married;
Divorced;
Widowed;
Legally Separated
Which one of the following
represents your own highest
level of educational achievement:
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;
Applicant's Native Country,
ONLY
if different from country of birth
Name, date and place of birth of the Applicant's Spouse and Children (IF ANY)
Spouse
Last Name
First Name
Middle
Date of Birth (Day/Month/Year)
Place of Birth (City/Town, Country)
Child 1
Last Name
First Name
Middle
Date of Birth (Day/Month/Year)
Male
Female
Place of Birth (City/Town, Country)
Child 2
Last Name
First Name
Middle
Date of Birth (Day/Month/year)
Male
Female
Place of Birth (City/Town, Country)
Child 3
Last Name
First Name
Middle
Date of Birth (Day/Month/year)
Male
Female
Place of Birth (City/Town, Country)
If you have more than 3 children list them on the back of the application
Remember to include one Photo
For each family member listed on the application
write name on the back
Please do not attach.
PAYMENT -- Make payment to: VisaPeople/AGCLC
Our processing fee is only $45 (U.S dollars) for one application, and only $70 for a married couple submitting two separate applications (one for husband and one for wife). You can save by applying for 2 years, 3 years or 6 years.
Check proper box below.
One Year:
$45
$70 (husband and wife)
Two years:
$80
$125 (husband and wife)
Three years:
$105
$165 (husband and wife)
Six years:
$150
$245 (husband and wife)
All kinds of Money Orders are accepted -- No refund after we file your application
Select Method of Payment:
Check drawn on U.S. Bank
U.S. Dollars Cash
Traveler's Check
U.S. Money Order
International Money Order
International Bank Draft
Foreign Postal Money Order
Western Union Money Transfer
Credit Card (see below)
Select Credit Card:
Visa
Master Card
Discover
Credit Card information will NOT go over the internet--You can fill it by hand if you wish
Card Number:
Expiration Date:
(Month/Year)
Card Holder’s Name:
Card Holder’s Signature:
Please provide your contact information below
Name:
Email_1:
Email_2:
Mailing Address:
Telephone:
Mail this page and the Application
to our office with:
1) Photo(s) and 2) Processing fee.
Visa
People
P.O Box 519
Annandale, VA 22003
USA
.
If you sending the application by a Courier (UPS, DHL, FedEX, TNT, etc.), please use this address.
Visa
People
4200 Whitney St. #40
Annandale, VA 22003
USA
.
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