CHOOSE YOUR FAMILY REGISTRATION PACKAGE

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24// CUSTOMER SERVICE 365 DAYS REGISTRATION 100% GUARANTEE PARTICIPATION

"*" indicates required fields

Step 1 of 7

Name

Prefix First Middle Last

Gender*

Date OF Birth*

Country Of Birth

City of Birth

Native Country

Email*

Enter Email Confirm Email

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Mobile Phone*

Phone (optional)

Passport Of Application*

Passport Number

Issuing Country

Issue Date

Expiration Date

Applicant Photo*

Photo Main Applicant

Drop files here or

Max. file size: 5 MB, Max. files: 5.

Press Next To Fill Out Children Information

Spouse Name

Prefix First Middle Last

Gender*

Date OF Birth*

Country Of Birth

City of Birth

Native Country

EDUCATION *You must have a minimum of a high school diploma reflecting the completion of a full course of study (vocation schools or equivalency degrees are not acceptable) or be a skilled worker in an occupation that requires at least two years of training or experience to qualify (visit http://online.onetcenter.org/ to see if your occupation qualifies) for a Diversity Visa

EDUCATION*

Photo and Passport Of Spouse

Photo Spouse

Drop files here or

Max. file size: 5 MB, Max. files: 5.

Passport Number

Issuing country

Expiration Date

Issue Date

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