Linimex Welcome to USA - Registration form diversity visa

The application submission period for DV-2006 is from 12:00PM EST (GMT -5) on November 5, 2004 to 12:00PM EST (GMT -5) on January 7, 2005

Natives of certain countries are not eligible to apply for the green card lottery this year.

The United Kingdom (except Northern Ireland) and its dependant territories and Vietnam are not eligible.

Persons born in Hong Kong SAR, Macau SAR and Taiwan are eligible as are people from Canada, China (mainland born), Columbia, Dominican Republic, El Salvador, Haiti, India, Jamaica, Mexico, Pakistan, Philippines and South Korea.

Natives from all other countries including Bermuda in North America may apply for the green card lottery.

The native of a particular country refers to a person born in that country, regardless of current nationality.
Thus, the applicant is required to have been born in a qualifying country (or be married to an eligible applicant who fulfils all the criteria including birth in a qualifying country) or be the minor child, under 21 of a person born in a qualifying country

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	The Congressionally mandated Diversity Immigrant Visa Program makes available 50,000 permanent resident visas annually, drawn from random selection among all entries to persons who meet strict eligibility requirements from countries with low rates of immigration to the United States.

	Applications are only accepted through the Internet and will not be accepted through the U.S. Postal Service. Applicants may be disqualified for not completing the application form correctly or by submitting more that one application.

Please complete carefully the following electronic diversity visa (VD) form



Your Identity

	1. Your last / family name
	2. Your first name
	3. Your middle name	No middle name:
	4. Gender
	5. Your date of birth
	6. City of birth
	7. Country of birth
	8. Your Father Country of birth
	9. Your Mother Country of birth
	10. Mailing address
	10.a. In care of
	10.b. Address Line 1
	10.c. Address Line 2
	10.d City/Town
	10.e. District/County/Province/State
	10.f. Postal Code/Zip Code	No postal code
	10.g. Country
	11. Your martial status
	12. Phone Number (Country code-Tel)
	13. E-mail address
	14. Number of Children
(Only unmarried children under 21 years of age should be mentioned, But legal permanent residents in USA or American Citizens should not be included)



Spouse Identity

	16. Last / family name
	17. First name
	18. Middle name	No middle name:
	19. Spouse birth date
	20. Spouse gender
	21. Spouse City/Town of birth
	22. Country of birth



Child #1 Identity

	23. Last / family name
	24. First name
	25. Middle name	No middle name:
	26. Birth date
	27. Gender
	28. City/Town of birth
	29. Country of birth



Child # 2 Identity

	30. Last / family name
	31. First name
	31. Middle name	No middle name:
	32. Birth date
	33. Gender
	34. City/Town of birth
	35. Country of birth



Child # 3 Identity

	36. Last / family name
	37. First name
	38. Middle name	No middle name:
	39. Birth date
	40. Gender
	41. City/Town of birth
	42. Country of birth


Note: If you have more than three children, please send to us them data by email of fax

You may also send to us your full data by Email to : linimex@gmail.com

or by fax to: + 1 (775) 822-6253

Updated last June 3rd, 2006