eDV Green Card Lottery Application registration
eDV Entry Form Registration
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Application Fee and Deadline.  The completed form signed by the prospective member and a spouse, along with a non-refundable application fee, per pay flow schema, must be delivered to The Green Card US GLOBAL office no later than November 05,2019  
To submit eDV Green Card lottery Application, Make sure to use ONLY the English alphabet.

* Marked with an [ * ] are mandatory
Eligible criteria of Registration
eDV Green Card lottery* Application information (Principal Applicant)
First Name* :
Middle Name :
Last Name* :
Date of Birth MM-Date-YYYY *
Gender :
Country of Birth* :
Mother country of Birth* :
Father country of Birth* :
Husband/Wife country of Birth :
Town of Birth* :
Mailing Address + Country (Not eMail)* :
City* :
State* :
Zip / Postal Code* :
Country where live today* :
Valid eMail of Applicant. Correct email Please, otherwise won`t receive password... * :
Confirm eMail* :
Get Updates by eMail : Yes, please send me updates by Email.
Get Updates by cell Phone?
  Country Code City Code Your cell Phone Number please:
Please fill Turning Number*
Turing Number
Education Details
High School Graduate?*
Education Level*
Years of experience *
How long would you like Green Card lottery Apps to be Submitted ?  
* Application ENTRIES Type
Valid within November 05.2019.
Do not wait until the last week of the
demand may result in website delays.*
registration period to enter, as heavy
Billing Address of Invoice to the:*
Spouse and Child's data fill out As Soon As Activate Application Applicant family status
Marital Status* :
Select number of unmarried child up to 21 y. of age... 
CHILDREN INFORMATION [ Add Child] [ Remove Children]
   You have no children information..

By typing my ** full name above, pursuant to 15 U.S.C. § 7001 (the "ESIGN Act"), I am intending it to stand in the place of and be equally as binding on me as if I had signed this document manually. I understand that I may retain a paper copy of this Application for my personal records and that I have the right to remove my consent to using the ESIGN Act by emailing admin@greencard-us.org, at which time the information above will no longer be used for disbursing Application to me. Clicking "...Apply Now" indicates that you agree to our
Privacy Policy and Terms and Conditions [TOS]

Accept given Terms [TOS]  Yes   
of eDV GreenCard* lottery* Application ?  No  
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