Dos Electronic Diversity Lottery System (edv) 2011
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DoS Electronic Diversity Lottery System (EDV) 2011
https://www.dvlottery.state.gov/application.aspx
ELECTRONIC DIVERSITY VISA ENTRY FORM
O MB Control Num ber: 1405-0153 F orm : DS-5501 Ex pires: 05/31/2010 Estim ated Burden: 30 m inutes
Submission Confirmation: Entry Received Success!
Printer friendly version
Your entry for the 2011 Diversity Visa Lottery Program Lottery Entry Form was received on Friday, October 23, 2009 at 11:22:15 PM EDT. Please do not close this window until you have printed this confirmation page or made a record of your Confirmation Number. Entrant Name: Islam, Md Rafiqul Confirmation Number: 20111BA96GN4BIZ5 Year of Birth: 1976 Thank you for your entry for the 2011 Diversity Visa Lottery. Please either print this page or make a record of the confirmation number before closing this window. You will not be able to retrieve this number after you close this window. You must retain your confirmation number in order to check your entry status using the internet. You may check back at this link http://www.dvlottery.state.gov/ESC/ between July 1, 2010 and June 30, 2011 to determine whether your entry was selected for further processing in the 2011 DV Lottery. You will be required to enter your confirmation number in combination with other personal information in order to check on your entry status. Selectees will also receive a letter through their country's postal service notifying them of their selection. Entrants who are not selected for further processing will not receive any type of notification through mail. Do not submit additional Entry Forms with this person as the Primary Entrant! Multiple entries will disqualify the entrant from participation in the Lottery.
1 of 2
10/24/2009 10:26 AM
DoS Electronic Diversity Lottery System (EDV) 2011
https://www.dvlottery.state.gov/application.aspx
the necessary data, providing the information required, and review ing the final collection. In accordance w ith 5 C FR 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/ISS/DIR ) Washington, D.C . 20520. Co nsular Affairs M ain Pag e | Ab o ut U s | Feed b ack | Co ntact U s | Search | To p o f Pag e This site is managed by the Bureau of C onsular Affairs, U.S. Department of State. External links to other Internet sites should not be construed as an endorsement of the view s contained therein. Co p yrig ht Info rmatio n | D isclaimers | Other U .S. Go vernment Info rmatio n
2 of 2
10/24/2009 10:26 AM
https://www.dvlottery.state.gov/application.aspx
ELECTRONIC DIVERSITY VISA ENTRY FORM
O MB Control Num ber: 1405-0153 F orm : DS-5501 Ex pires: 05/31/2010 Estim ated Burden: 30 m inutes
Submission Confirmation: Entry Received Success!
Printer friendly version
Your entry for the 2011 Diversity Visa Lottery Program Lottery Entry Form was received on Friday, October 23, 2009 at 11:22:15 PM EDT. Please do not close this window until you have printed this confirmation page or made a record of your Confirmation Number. Entrant Name: Islam, Md Rafiqul Confirmation Number: 20111BA96GN4BIZ5 Year of Birth: 1976 Thank you for your entry for the 2011 Diversity Visa Lottery. Please either print this page or make a record of the confirmation number before closing this window. You will not be able to retrieve this number after you close this window. You must retain your confirmation number in order to check your entry status using the internet. You may check back at this link http://www.dvlottery.state.gov/ESC/ between July 1, 2010 and June 30, 2011 to determine whether your entry was selected for further processing in the 2011 DV Lottery. You will be required to enter your confirmation number in combination with other personal information in order to check on your entry status. Selectees will also receive a letter through their country's postal service notifying them of their selection. Entrants who are not selected for further processing will not receive any type of notification through mail. Do not submit additional Entry Forms with this person as the Primary Entrant! Multiple entries will disqualify the entrant from participation in the Lottery.
1 of 2
10/24/2009 10:26 AM
DoS Electronic Diversity Lottery System (EDV) 2011
https://www.dvlottery.state.gov/application.aspx
the necessary data, providing the information required, and review ing the final collection. In accordance w ith 5 C FR 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/ISS/DIR ) Washington, D.C . 20520. Co nsular Affairs M ain Pag e | Ab o ut U s | Feed b ack | Co ntact U s | Search | To p o f Pag e This site is managed by the Bureau of C onsular Affairs, U.S. Department of State. External links to other Internet sites should not be construed as an endorsement of the view s contained therein. Co p yrig ht Info rmatio n | D isclaimers | Other U .S. Go vernment Info rmatio n
2 of 2
10/24/2009 10:26 AM
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