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Application Form   DV-2006

    Do NOT print out this page! On this and the following pages you will be asked to provide your personal data for filing your official application for a US green card. Please fill in the empty spaces and click on the “Next>”-Button to go to the next page. After completing the last page, a new window will open to display the official entry form. Please print this form using your browser’s “Print”-Button, sign the form where it is indicated, attach a recent passport picture and send us the application form by mail.

    Attention: You will have to submit one photo each of yourself and all family members that you list on your application (i.e. a separate photo each of yourself, your spouse and all unmarried children under the age of 21). All passport photos should be between 37mm x 37mm and 50mm x 50 mm (1½–2 inches) square in size, with the name and date of birth of the person shown on the photo printed on the back. Please take the pictures directly facing the camera in front of light-colored background.

    It is very important that you send one photo of each family member!

Title:
Gender:
First name(s) of applicant:
Last name of applicant:
c/o:
 
Street and Number (Line 1):
Street and Number (Line 2):
Postal Code (ZIP):
City:
Country:
Telephone:
E-mail:
Date of Birth (Day/Month/Year):
Place of Birth (City, Country, State):
 
Marital status:
Number of children under 21, unmarried:
 
 
 

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