DV Lottery Practice Tool

Last Name

First Name

Middle Name

2. Gender

Male Female

3. Birth Date

4. City Where You Were Born

5. Country Where You Were Born

6. Country of Eligibility for the DV Program

Your country of eligibility will normally be the same as your country of birth. Your country of eligibility is NOT related to where you live. If you were born in a country that is not eligible for the DV program, please go to Explanation of Country of Eligibility to see if there is another option available in your case.

Are you claiming eligibility based on the country where you were born?

Yes No

If not, you must enter the country from which you are claiming eligibility

7. Entrant Photograph

Photographs must be submitted at the time of EDV entry. Photographs that do not comply with all specifications, including but not limited to recency of the photos, composition of the photos, and unacceptable backgrounds are grounds for disqualification of the entire entry. Any manipulation of photographs that alters the facial characteristics is grounds for disqualification of the entire entry. See examples on the Photo Tool page. Photo Tool
Please refer to the Instructions for the 2019 Diversity Immigrant Visa program (DV-2019) for technical specifications and compositional specifications for the digital image.
You will use one of the following methods to enter the image into eDV:
* Take a new digital image.
*Use a digital scanner to scan a submitted photograph.
Link to photo instructions/photo tool page

Clicking the 'Choose New Photo’ button will allow you to look for and choose the file which is storing the photograph. Once chosen, the file name and the photo will display. If the photo is not correct, please click on the 'Choose New Photo' button to choose a new file.

Choose New Photo ( 600px X 600px )

8. Mailing Address

a. In Care Of (optional)

b. Address Line 1

c. Address Line 2 (optional)

d. City/Town

e. District/County/Province/State

f. Postal Code/Zip Cade

g. Country

9. Country Where You Live Today

10. Phone Number

11. E-mail Address

a. E-Mail Address (e.g. johndoe@example.com)

b. Confirm E-Mail Address

(NOTE: This e-mail address will be used to provide you with additional information if you are selected.)

You must have a minimum of a high school diploma reflecting the completion of a full course of study (vocation schools or equivalency degrees are not acceptable) or be a skilled worker in an occupation that requires at least two years of training or experience to qualify, SVP of 7.0 or higher Visit https://www.onetonline.org/ for a Diversity Visa

13. What is your current marital status?

Unmarried Married and my spouse is NOT a U.S.citizen or U.S. Lawful Permanent Resident (LPR) Married and my spouse IS a U.S.cifizen or U.S. Lawful Permanent Resident (LPR) Divorced Widowed Legally Separated

Legal separation is an arrangement when a couple remain married but live apart, following a court order. If you and your spouse are legally separated, your spouse will not be able to immigrate with you through the Diversity Visa program. You will not be penalized if you choose to enter the name of a spouse from whom you are legally separated.

If you are not legally separated by a court order, you must include your spouse even if you plan to be divorced before you apply for the Diversity Visa. Failure to list your eligible spouse Is grounds for disqualification.

If your spouse is a U.S. citizen or Lawful Permanent Resident, do not list him/her in your entry:

14. Number of Children

Children include all biological children, legally adopted children, and stepchildren who are unmarried and under the age of 21 on the date you submit your entry. You must include ail eligible children, even if they do not live with you or if they do not intend to apply for a Diversity Visa as your derivative. Failure to list all eligible children is grounds for disqualification. If your child is a U.S. citizen or Lawful Permanent Resident, do not list him/her in your entry

PAPERWORK REDUCTION ACT: Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time required for searching existing data sources, gathering the necessary documentation, providing the information and/or documents required, and reviewing the final collection. You do not have to supply this information unless this collection displays a currently valid OMB control number. If you have comments on the accuracy of this burden estimate and/or recommendations for reducing it, please send them to: PRA_BurdenComments@state. gov.

CONFIDENTIALITY STATEMENT: The information asked for on this form is requested pursuant to Section 222 of the Immigration and Nationality Act. INA Section 222(f) provides that visa issuance and refusal records shall be considered confidential and shall be used only for the formulation, amendment, administration, or enforcement of the immigration, nationality, and other laws of the United States. Certified copies of visa records may be made available to a court which certifies that the information contained in such records is needed in a case pending before the court

If you need to go back and make a correction, do NOT use the back button on your browser. Instead use the appropriate button here.

13. Spouse Name

Last/Family Name

First Name

Middle Name

13d. Birth Date

13e. Gender

Male Female

13f. City Where Spouse Was Born

13g. Country Where Spouse Was Born

13h. Spouse Photograph

Photographs must be submitted at the time of EDV entry. Photographs that do not comply with all specifications, including but not limited to recency of the photos, composition of the photos, and unacceptable backgrounds are grounds for disqualification of the entire entry. Any manipulation of photographs that alters the facial characteristics is grounds for disqualification of the entire entry. See examples on the Photo Tool page. Photo Tool
Please refer to the Instructions for the 2019 Diversity Immigrant Visa program (DV-2019) for technical specifications and compositional specifications for the digital image.
You will use one of the following methods to enter the image into eDV:
* Take a new digital image.
*Use a digital scanner to scan a submitted photograph.
Link to photo instructions/photo tool page

Clicking the 'Choose New Photo’ button will allow you to look for and choose the file which is storing the photograph. Once chosen, the file name and the photo will display. If the photo is not correct, please click on the 'Choose New Photo' button to choose a new file.

Choose New Photo (600*600)

14. Child #1 Name

Last/Family Name

First Name

Middle Name

14d. Birth Date

Gender

Male Female

14f. City Where Child Was Born

14g. Country Where Child Was Born

14h. Child Photograph

Photographs must be submitted at the time of EDV entry. Photographs that do not comply with all specifications, including but not limited to recency of the photos, composition of the photos, and unacceptable backgrounds are grounds for disqualification of the entire entry. Any manipulation of photographs that alters the facial characteristics is grounds for disqualification of the entire entry. See examples on the Photo Tool page. Photo Tool
Please refer to the Instructions for the 2019 Diversity Immigrant Visa program (DV-2019) for technical specifications and compositional specifications for the digital image.
You will use one of the following methods to enter the image into eDV:
* Take a new digital image.
*Use a digital scanner to scan a submitted photograph.
Link to photo instructions/photo tool page

Clicking the 'Choose New Photo’ button will allow you to look for and choose the file which is storing the photograph. Once chosen, the file name and the photo will display. If the photo is not correct, please click on the 'Choose New Photo' button to choose a new file.

Choose New Photo (600*600)

14. Child #2 Name

Last/Family Name

First Name

Middle Name

14d. Birth Date

Gender

Male Female

14f. City Where Child Was Born

14g. Country Where Child Was Born

Choose New Photo (600*600)

14. Child #3 Name

Last/Family Name

First Name

Middle Name

14d. Birth Date

Gender

Male Female

14f. City Where Child Was Born

14g. Country Where Child Was Born

Choose New Photo (600*600)

14. Child #4 Name

Last/Family Name

First Name

Middle Name

14d. Birth Date

Gender

Male Female

14f. City Where Child Was Born

14g. Country Where Child Was Born

Choose New Photo (600*600)

14. Child #5 Name

Last/Family Name

First Name

Middle Name

14d. Birth Date

Gender

Male Female

14f. City Where Child Was Born

14g. Country Where Child Was Born

Choose New Photo (600*600)

PAPERWORK REDUCTION ACT:Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time required for searching existing data sources, gathering the necessary documentation, providing the information and/or documents required, and reviewing the final collection. You do not have to supply this information unless this collection displays a currently valid OMB control number. If you have comments on the accuracy of this burden estimate and/or recommendations for reducing it, please send them to: PRA_BurdenComments@state.gov.

CONFIDENTIALITY STATEMENT: The information asked for on this form is requested pursuant to Section 222 of the immigration and Nationality Act. INA Section 222(f) provides that visa issuance and refusal records shall be considered confidential and shall be used only for the formulation, amendment, administration, or enforcement of the immigration, nationality, and other laws of the United States. Certified copies of visa records may be made available to a court which certifies that the information contained in such records is needed in a case pending before the court.

Entrant Information