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ELECTRONIC
DIVERSITY VISA ENTRY FORM
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Approved
OMB 1405-0153
Expires: 04/30/2007
Estimated Burden:
30 minutes
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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 or
below:
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Part Two
- Dependents
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13.
Spouse Name
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a. Last/Family Name
No
Last/Family Name
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b. First Name
No
First Name
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c. Middle Name
No
Middle Name
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13d.
Birth Date
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13e.
Gender
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Male
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Female
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13f.
Birth City
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Birth
City/Town Unknown
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13g.
Birth Country
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13h.
Spouse Photograph
Please
refer to the Instructions for the 2007 Diversity Immigrant
Visa Program (DV-2007) for technical specifications and
compositional specifications for the digital image. You will
use one of the following methods to enter the image into eDV:
Specific
instructions are included for both methods.
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Photograph File Name
If you
know the location in the computer and the name of the file
which is storing the photograph, enter it in the box to the
left of(the) 'Browse' button. If you are not sure of the
location in the computer or the name of the file, clicking
the 'Browse' button will allow you to look for and choose the
file which is storing the photograph, and after you choose
the file its name will appear in the box on the left.
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14.
Child #1 Name
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a. Last/Family Name
No
Last/Family Name
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b. First Name
No
First Name
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c. Middle Name
No
Middle Name
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14d.
Birth Date
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14e.
Gender
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Male
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Female
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14f.
Birth City
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Birth
City/Town Unknown
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14g.
Birth Country
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14h.
Child Photograph
Please
refer to the Instructions for the 2007 Diversity Immigrant
Visa Program (DV-2007) for technical specifications and
compositional specifications for the digital image. You will
use one of the following methods to enter the image into eDV:
Specific
instructions are included for both methods.
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Photograph File Name
If you
know the location in the computer and the name of the file
which is storing the photograph, enter it in the box to the
left of(the) 'Browse' button. If you are not sure of the
location in the computer or the name of the file, clicking
the 'Browse' button will allow you to look for and choose the
file which is storing the photograph, and after you choose
the file its name will appear in the box on the left.
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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
data, providing the
information required, and reviewing the
final collection. In accordance with
5 CFR 1320 5(b),
persons are not required to respond to the collection of
this
information unless this form displays a currently valid OMB
control
number. Send comments on the accuracy of this
estimate of the burden and
recommendations for reducing it
to: U.S. Department of State (A/RPS/DIR)
Washington, D.C.
20520.
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Copyright
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