Electronic Diversity Visa Entry Form

  • October 2019
  • PDF

This document was uploaded by user and they confirmed that they have the permission to share it. If you are author or own the copyright of this book, please report to us by using this DMCA report form. Report DMCA


Overview

Download & View Electronic Diversity Visa Entry Form as PDF for free.

More details

  • Words: 210
  • Pages: 1
ELECTRONIC DIVERSITY VISA ENTRY FORM

OMB Control Numbe Fo Expires Estimated Burden

Submission Confirmation: Application Received Success!

A Diversity Visa 2009 Lottery Entry Form was received on Thursday, November 15, 2007 at 6:29:0 EST and has been entered into the system. Please print this page for your personal records. You w need to use your browser's print button for this. Your application is now complete, after printing you close this window using your browser's close button. Applicant Name: MIA, MD SAJAL Birth Date: Tuesday, January 05, 1988 Eligibility Country: Bangladesh

Do not submit additional Entry Forms with th

person as the Primary Applicant! Multiple entries will disqualify the applicant from participation in the Lottery. 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/ISS/DIR) Washington, D.C. 20520. Copyright Information

Related Documents

Entry Form
December 2019 33
Entry Form
May 2020 21
Entry Form
May 2020 20
Entry Form
June 2020 20