Your
entry for the 2015 Diversity Visa Lottery program was received on Sunday,
October 27, 2013 at 8:04:30 PM EST. Please do NOT close this
window until you have printed this confirmation page or made a record of
your Confirmation Number.
Entrant Name:
CANDASIRI,
FNU
Confirmation Number:
20154KNEQDKQAGKK
Year of Birth:
1974
Digital Signature:
BFBD7D729180BA72DEAE8F203BAD8A0FF553A34E
Thank you
for your entry for the 2015 Diversity Visa Lottery.
Please either print this page or make a record of
the confirmation number before closing this window. You will not be able
to retrieve this number after you close this window.
You must
retain your confirmation number in order to check your entry status via http://www.dvlottery.state.gov/ESC/
between May 1, 2014 and September 30, 2015 to determine whether your
entry was selected for further processing in the 2015 Diversity Visa
Lottery. You will be REQUIRED to enter your confirmation number in
combination with other personal information in order to check on your
entry status.
Selectees will not receive selectee notifications
or letters by regular postal mail from the Kentucky Consular Center
(KCC).
Do not submit additional Entry Forms with this
person as the Primary Entrant! Multiple entries will disqualify the
Entrant from participation in the 2015 Diversity Visa 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 documentation, providing
the information and/or documents required, and reviewing the final
collection. You do not have to supply this information unless this
collection displays a currently valid OMB control number. If you have
comments on the accuracy of this burden estimate and/or recommendations
for reducing it, please send them to: PRA_BurdenComments@state.gov.
CONFIDENTIALITY STATEMENT: AUTHORITIES: The information asked for
on this form is requested pursuant to Section 222 of the Immigration and
Nationality Act. Section 222(f) provides that the records of the
Department of State and of diplomatic and consular offices of the United
States pertaining to the issuance and refusal of visas or permits to
enter the United States shall be considered confidential and shall be
used only for the formulation, amendment, administration, or enforcement
of the immigration, nationality, and other laws of the United States.
Certified copies of such records may be made available to a court
provided the court certifies that the information contained in such
records is needed in a case pending before the court. PURPOSE: The U.S.
Department of State uses the facts you provide on this form primarily to
determine your classification and eligibility for a U.S. immigrant visa. Individuals
who fail to submit this form or who do not provide all the requested
information may be denied a U.S. immigrant visa. Although furnishing this
information is voluntary, failure to provide this information may delay
or prevent the processing of your case. ROUTINE USES: If you are issued
an immigrant visa and are subsequently admitted to the United States as
an immigrant, the Department of Homeland Security will use the
information on this form to issue you a Permanent Resident Card, and, if
you so indicate, the Social Security Administration will use the
information to issue a social security number. The information provided
may also be released to federal agencies for law enforcement,
counterterrorism and homeland security purposes; to Congress and courts
within their sphere of jurisdiction; and to other federal agencies who
may need the information to administer or enforce U.S. laws.
This site is managed by the Bureau of Consular Affairs, U.S. Department
of State. External links to other Internet sites should not be
construed as an endorsement of the views contained therein.
(Enter
Birth City Only. Do not enter District/County/Province/State)
Birth
City Unknown
5. Country Where You Were Born
6. Country of Eligibility for the DV Program
Your country of eligibility will normally be the same
as your country of birth. Your country of eligibility is NOT related
to where you live. If you were born in a country that is not eligible for the
DV program, please go to Explanation of Country of
Eligibility{this link will open in a new
window} to see if there is another option available in your case.
Are you claiming eligibility based on the country where
you were born?
Yes
No
If not, you must enter the country from which you are
claiming eligibility.
7. Entrant Photograph
Photographs
must be submitted at the time of eDV entry. Photographs that do not
comply with all specifications, including but not limited to recency of the
photos, composition of the photos, and unacceptable backgrounds are grounds
for disqualification of the entire entry. Any manipulation of photographs
that alters the facial characteristics is grounds for disqualification of the
entire entry. See examples on the Photo Validation{this
link will open in a new window} page.
Please refer
to the Instructions for the 2015 Diversity Immigrant Visa program (DV-2015)
for technical specifications and compositional specifications for the digital
image.
You will use
one of the following methods to enter the image into eDV:
Take a
new digital image.
Use a
digital scanner to scan a submitted photograph.
Clicking the 'Browse' button will allow you to look for
and choose the file which is storing the photograph, and after you choose the
file its name will appear in the box above.
8. Mailing Address
8a. In Care Of
(optional)
8b. Address Line 1
8c. Address Line 2
(optional)
8d. City/Town
8e. District/County/Province/State
8f. Postal Code/Zip Code
No
Postal Code/Zip Code
8g. Country
(NOTE: This is the address that will be used to
notify you if you are selected.)
9. Country Where You Live Today
10. Phone Number
(optional)
11. E-mail Address
11a. E-Mail Address
(e.g.
johndoe@example.com)
11b. Confirm E-Mail Address
12. What is the highest level of education you have
achieved, as of today?
Primary
school only
University
Degree
High
School, no degree
Some
Graduate Level Courses
High
School degree
Master's
Degree
Vocational
School
Some
Doctorate Level Courses
Some
University Courses
Doctorate
Degree
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/{this link will open in a new window} to see if your
occupation qualifies) for a Diversity Visa.
13. What is your current marital status?
Unmarried
Married
Divorced
Widowed
Legally
Separated
Legal separation means that a court has formally
declared that you and your spouse are legally separated. Legal separation
means that your spouse would not be eligible to immigrate as your derivative.
14. Number of Children
(optional)
Children include all biological children, legally
adopted children, and stepchildren who are unmarried and under the age of 21
on the date that you submit your entry. Failure to include all children or
inclusion of children who are not your biological children, legally adopted
children, and stepchildren (regardless of whether they live with you and/or
intend to apply for a visa as your derivative) is grounds for disqualification
of the entire entry.
If you
need to go back and make a correction, do NOT use the back button
on your browser. Instead use the appropriate button here or below:
Part Two - Derivatives
13. Spouse Name
a. Last/Family Name
No
Last/Family Name
b. First Name
No
First Name
c. Middle Name
No
Middle Name
13d. Birth Date
a. Day
b. Month
c. Year
13e. Gender
Male
Female
13f. City Where Spouse Was Born
(Enter
Birth City Only. Do not enter District/County/Province/State)
Birth
City Unknown
13g. Country Where Spouse Was Born
13h. Spouse Photograph
Photographs
must be submitted at the time of eDV entry. Photographs that do
not comply with all specifications, including but not limited to recency of
the photos, composition of the photos, and unacceptable backgrounds are
grounds for disqualification of the entire entry. Any manipulation of
photographs that alters the facial characteristics is grounds for
disqualification of the entire entry. See examples on the Photo Validation{this
link will open in a new window} page.
Please
refer to the Instructions for the 2015 Diversity Immigrant Visa program
(DV-2015) for technical specifications and compositional specifications for
the digital image.
You will
use one of the following methods to enter the image into eDV:
Take a
new digital image.
Use a
digital scanner to scan a submitted photograph.
Clicking the 'Browse' button will allow you to look
for and choose the file which is storing the photograph, and after you
choose the file its name will appear in the box above.
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 documentation, providing the
information and/or documents required, and reviewing the final collection.
You do not have to supply this information unless this collection displays
a currently valid OMB control number. If you have comments on the accuracy
of this burden estimate and/or recommendations for reducing it, please send
them to: PRA_BurdenComments@state.gov.
CONFIDENTIALITY STATEMENT: AUTHORITIES: The information asked for on
this form is requested pursuant to Section 222 of the Immigration and
Nationality Act. Section 222(f) provides that the records of the Department
of State and of diplomatic and consular offices of the United States
pertaining to the issuance and refusal of visas or permits to enter the
United States shall be considered confidential and shall be used only for
the formulation, amendment, administration, or enforcement of the
immigration, nationality, and other laws of the United States. Certified
copies of such records may be made available to a court provided the court
certifies that the information contained in such records is needed in a case
pending before the court. PURPOSE: The U.S. Department of State uses the
facts you provide on this form primarily to determine your classification
and eligibility for a U.S. immigrant visa. Individuals who fail to submit
this form or who do not provide all the requested information may be denied
a U.S. immigrant visa. Although furnishing this information is voluntary,
failure to provide this information may delay or prevent the processing of
your case. ROUTINE USES: If you are issued an immigrant visa and are
subsequently admitted to the United States as an immigrant, the Department
of Homeland Security will use the information on this form to issue you a
Permanent Resident Card, and, if you so indicate, the Social Security
Administration will use the information to issue a social security number.
The information provided may also be released to federal agencies for law
enforcement, counterterrorism and homeland security purposes; to Congress
and courts within their sphere of jurisdiction; and to other federal
agencies who may need the information to administer or enforce U.S. laws.
This site is managed by the Bureau of Consular Affairs, U.S. Department
of State. External links to other Internet sites should not be construed
as an endorsement of the views contained therein.
(NOTE: This is the address that will be used to
notify you if you are selected.)
9. Country Where You Live Today
United States Of America
10. Phone Number
+13477252080
11. E-mail Address
vencandasiri@gmail.com
12. What is the highest level of education you have
achieved, as of today?
University Degree
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/{this link will open in a new window} to see if your
occupation qualifies) for a Diversity Visa.
13. What is your current marital status?
Married
Legal separation means that a court has formally
declared that you and your spouse are legally separated. Legal separation
means that your spouse would not be eligible to immigrate as your derivative.
14. Number of Children
0
Children include all biological children, legally
adopted children, and stepchildren who are unmarried and under the age of 21
on the date that you submit your entry. Failure to include all children or
inclusion of children who are not your biological children, legally adopted
children, and stepchildren (regardless of whether they live with you and/or
intend to apply for a visa as your derivative) is grounds for
disqualification of the entire entry.
Your entry
for the 2015 Diversity Visa Lottery program was received on Sunday, October
27, 2013 at 8:04:30 PM EST. Please do NOT close this window until
you have printed this confirmation page or made a record of your
Confirmation Number.
Entrant Name:
CANDASIRI,
FNU
Confirmation Number:
20154KNEQDKQAGKK
Year of Birth:
1974
Digital Signature:
BFBD7D729180BA72DEAE8F203BAD8A0FF553A34E
Thank you
for your entry for the 2015 Diversity Visa Lottery.
Please
either print this page or make a record of the confirmation number before
closing this window. You will not be able to retrieve this number after you
close this window.
You must
retain your confirmation number in order to check your entry status via http://www.dvlottery.state.gov/ESC/
between May 1, 2014 and September 30, 2015 to determine whether your entry
was selected for further processing in the 2015 Diversity Visa Lottery. You
will be REQUIRED to enter your confirmation number in combination
with other personal information in order to check on your entry status.
Selectees
will not receive selectee notifications or letters by regular postal mail
from the Kentucky Consular Center (KCC).
Do not
submit additional Entry Forms with this person as the Primary Entrant!
Multiple entries will disqualify the Entrant from participation in the 2015
Diversity Visa 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 documentation, providing the
information and/or documents required, and reviewing the final collection.
You do not have to supply this information unless this collection displays
a currently valid OMB control number. If you have comments on the accuracy
of this burden estimate and/or recommendations for reducing it, please send
them to: PRA_BurdenComments@state.gov.
CONFIDENTIALITY STATEMENT: AUTHORITIES: The information asked for on
this form is requested pursuant to Section 222 of the Immigration and Nationality
Act. Section 222(f) provides that the records of the Department of State
and of diplomatic and consular offices of the United States pertaining to
the issuance and refusal of visas or permits to enter the United States
shall be considered confidential and shall be used only for the
formulation, amendment, administration, or enforcement of the immigration,
nationality, and other laws of the United States. Certified copies of such
records may be made available to a court provided the court certifies that
the information contained in such records is needed in a case pending
before the court. PURPOSE: The U.S. Department of State uses the facts you
provide on this form primarily to determine your classification and
eligibility for a U.S. immigrant visa. Individuals who fail to submit this
form or who do not provide all the requested information may be denied a
U.S. immigrant visa. Although furnishing this information is voluntary,
failure to provide this information may delay or prevent the processing of your
case. ROUTINE USES: If you are issued an immigrant visa and are
subsequently admitted to the United States as an immigrant, the Department
of Homeland Security will use the information on this form to issue you a
Permanent Resident Card, and, if you so indicate, the Social Security
Administration will use the information to issue a social security number.
The information provided may also be released to federal agencies for law
enforcement, counterterrorism and homeland security purposes; to Congress and
courts within their sphere of jurisdiction; and to other federal agencies
who may need the information to administer or enforce U.S. laws.
This site is managed by the Bureau of Consular Affairs, U.S. Department
of State. External links to other Internet sites should not be construed
as an endorsement of the views contained therein.
Applicant Entry Systemv11.00.00 
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