INFORMATION FOR D-V VISA APPLICATION

BETTS LAW FIRM EMAIL: Admin@applyforusvisas.com TEL: 469-230-9314 (WHATSAPP/TELEGRAM)
INFORMATION FOR D-V VISA APPLICATION
ENTER YOUR NAME EXACTLY AS IT APPEARS ON YOUR PASSPORT:*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
CITY / TOWN OF BIRTH*
COUNTRY OF BIRTH*
MAILING ADDRESS*
CITY / TOWN*
DISTRICT / PROVINCE*
COUNTRY OF RESIDENCE*
ZIP / POSTAL CODE*
EMAIL ADDRESS*
example@example.com
PHONE NO*
HIGHEST LEVEL OF EDUCATION AS OF THE DAY YOU ARE FILLING THIS FORM:
HIGHEST LEVEL OF EDUCATION AS OF THE DAY YOU ARE FILLING THIS FORM:*

Primary School OnlySome High School, No DiplomaHigh School DiplomaVocational SchoolSome University CoursesUniversity Degree;Some Graduate-Level Courses;Master's DegreeSome Doctoral-Level CoursesDoctorate
CURRENT MARITAL STATUS:*

Single, Never marriedMarriedDivorcedWidowedSeparated
NUMBER OF CHILDREN WHO ARE NOT MARRIED UNDER 21 YEARS OLD*
ARE YOU CURRENTLY EMPLOYED?*

YESNO
HOW LONG HAVE YOU BEEN EMPLOYED*
HAVE YOU BEEN EMPLOYED FOR AT LEAST TWO YEARS IN THE LAST FIVE(5) YEARS?*

YESNO
SPOUSE'S NAME
LAST NAME
FIRST
MIDDLE
Spouse's Birth Date

MonthDayYear
IS YOUR SPOUSE A GREEN CARD HOLDER?

YESNO
IS YOUR SPOUSE A U.S. CITIZEN?

YESNO
CITYTOWN OF BIRTH
COUNTRY OF BIRTH
CHILDREN'S NAMES

PLEASE LIST THE NAMES OF ALL YOUR CHILDREN, INCLUDING STEP-CHILDREN
CHILD 1:
LAST NAME
FIRST
MIDDLE
Birthday

MonthDayYear
Date
GENDER

MaleFemale
CITY / TOWN OF BIRTH
COUNTRY OF BIRTH
CHILD 2:
LAST NAME
FIRST
MIDDLE
Birthday

MonthDayYear
Date
GENDER

MaleFemale
CITY / TOWN OF BIRTH
COUNTRY OF BIRTH
CHILD 3:
LAST NAME
FIRST
MIDDLE
Birthday

MonthDayYear
Date
GENDER

MaleFemale
CITY / TOWN OF BIRTH
COUNTRY OF BIRTH
PLEASE ENTER THE ABOVE DATA FOR ANY OTHER CHILDREN
YOU MUST SUBMIT A PASSPORT A PASSPORT SIZED PHOTOGRAPH (TAKEN WITHIN THE LAST SIX MONTHS) OF YOURSELF, YOUR SPOUSE AND ALL CHILDREN INCLUDED IN YOUR APPLICATION. PLEASE CONTACT US ON HOW TO SUBMIT DIGITAL PHOTOS FOR YOUR APPLICATION.
Should be Empty:

INFORMATION FOR D-V VISA APPLICATION

HIGHEST LEVEL OF EDUCATION AS OF THE DAY YOU ARE FILLING THIS FORM:

SPOUSE'S NAME

CHILDREN'S NAMES

CHILD 1:

CHILD 2:

CHILD 3: