Your
entry for the 2015 Diversity Visa Lottery program was received on
Tuesday, October 29, 2013 at 9:34:58 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:
CHAN
AUNG, NYEIN
Confirmation Number:
20154QOOMTOJAFIV
Year of Birth:
1994
Digital Signature:
210100252CE04839474E889E18537A7B55893B75
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.
Applicant Entry Systemv11.00.00 
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