ENTER DV-2021 HERE!

IMPORTANT

THIS IS NOT A U.S. GOVERNMENT / U.S. GOVERNMENT-RELATED WEBSITE.

On the contrary, we are a business involved in – among other activities – submitting DV entries on behalf of individuals and families who solicit our expertise to that effect, for a reasonable cost.

If – and only if – you are one of such individuals/families, kindly proceed to filling in the form below, or go to our  Entrant Guidance Form (for users who prefer NOT TO hand over their personal data).

In case you encounter any problems while working with the form, please address a relevant email to admin@mydvprogram.com.

 

DV-2021 ENTRY SUBMISSION FORM

 

  • PART 1: PRIMARY ENTRANT

    Fill in all fields below with accurate and complete information about yourself, the primary entrant.
  • Passport NumberExpiration Date (M,D,Y)Country of Issuance
  • Accepted file types: jpeg, jpg.
    Upload a recently-taken passport size photo of yourself, in JPEG (.jpg) file format, for approval. (The photo is the most critical part of your entry. We will provide you with detailed instructions on taking an acceptable photo in case the one you upload does not meet DV standards).
  • Your spouse (husband or wife) plus all your children below 21 years old equal your total number of secondary entrants. For a single entrant (one without spouse or children), the total number of secondary entrants is 0.
  • PART 2: SECONDARY ENTRANT(S)

    This part ONLY concerns entrants WITH DERIVATIVES (i.e. with wife/husband and/or children below 21 years old). In case you are a SINGLE ENTRANT, proceed to, and read Part 3, at the very end of the form; and then SUBMIT.
  • Part 2A: Spouse Information

    Fill in the fields below with accurate and complete information about the Primary Entrant's Husband or Wife (if applicable).
  • Accepted file types: jpeg, jpg.
    Upload a recently-taken passport size photo, in JPEG (.jpg) file format, for approval. (The photo is the most critical part of your entry. We will provide you with detailed instructions on taking an acceptable photo in case the one you upload does not meet DV standards).
  • Part 2B: Child(ren) Information

    Fill in the fields below with accurate and complete information about each child BELOW 21 years old (if applicable).
  • Child # 1

  • Accepted file types: jpeg, jpg.
    Upload a recently-taken passport size photo, in JPEG (.jpg) file format, for approval. (The photo is the most critical part of your entry. We will provide you with detailed instructions on taking an acceptable photo in case the one you upload does not meet DV standards).
  • Child # 2

  • Accepted file types: jpeg, jpg.
    Upload a recently-taken passport size photo, in JPEG (.jpg) file format, for approval. (The photo is the most critical part of your entry. We will provide you with detailed instructions on taking an acceptable photo in case the one you upload does not meet DV standards).
  • Child # 3

  • Accepted file types: jpeg, jpg.
    Upload a recently-taken passport size photo, in JPEG (.jpg) file format, for approval. (The photo is the most critical part of your entry. We will provide you with detailed instructions on taking an acceptable photo in case the one you upload does not meet DV standards).
  • Child # 4

  • Accepted file types: jpeg, jpg.
    Upload a recently-taken passport size photo, in JPEG (.jpg) file format, for approval. (The photo is the most critical part of your entry. We will provide you with detailed instructions on taking an acceptable photo in case the one you upload does not meet DV standards).
  • Child # 5

  • Accepted file types: jpeg, jpg.
    Upload a recently-taken passport size photo, in JPEG (.jpg) file format, for approval. (The photo is the most critical part of your entry. We will provide you with detailed instructions on taking an acceptable photo in case the one you upload does not meet DV standards).
  • PART 3: ENTRY SUBMISSION COST

    Your DV-2021 Entry Submission Cost is the SUM of the Entry Submission Fee for the Primary Entrant ($30.00) and that of Each Secondary Entrant ($10.00). Pay by PayPal.
  • Price: $0.00

DV-2021 ENTRY SUBMISSION FORM

  • PART 1: PRIMARY ENTRANT

    Fill in all fields below with accurate and complete information about yourself, the primary entrant.
  • Passport NumberExpiration Date (M,D,Y)Country of Issuance
  • Accepted file types: jpeg, jpg.
    Upload a recently-taken passport size photo of yourself, in JPEG (.jpg) file format, for approval. (The photo is the most critical part of your entry. We will provide you with detailed instructions on taking an acceptable photo in case the one you upload does not meet DV standards).
  • Your spouse (husband or wife) plus all your children below 21 years old equal your total number of secondary entrants. For a single entrant (one without spouse or children), the total number of secondary entrants is 0.
  • PART 2: SECONDARY ENTRANT(S)

    This part ONLY concerns entrants WITH DERIVATIVES (i.e. with wife/husband and/or children below 21 years old). In case you are a SINGLE ENTRANT, proceed to, and read Part 3, at the very end of the form; and then SUBMIT.
  • Part 2A: Spouse Information

    Fill in the fields below with accurate and complete information about the Primary Entrant's Husband or Wife (if applicable).
  • Accepted file types: jpeg, jpg.
    Upload a recently-taken passport size photo, in JPEG (.jpg) file format, for approval. (The photo is the most critical part of your entry. We will provide you with detailed instructions on taking an acceptable photo in case the one you upload does not meet DV standards).
  • Part 2B: Child(ren) Information

    Fill in the fields below with accurate and complete information about each child BELOW 21 years old (if applicable).
  • Child # 1

  • Accepted file types: jpeg, jpg.
    Upload a recently-taken passport size photo, in JPEG (.jpg) file format, for approval. (The photo is the most critical part of your entry. We will provide you with detailed instructions on taking an acceptable photo in case the one you upload does not meet DV standards).
  • Child # 2

  • Accepted file types: jpeg, jpg.
    Upload a recently-taken passport size photo, in JPEG (.jpg) file format, for approval. (The photo is the most critical part of your entry. We will provide you with detailed instructions on taking an acceptable photo in case the one you upload does not meet DV standards).
  • Child # 3

  • Accepted file types: jpeg, jpg.
    Upload a recently-taken passport size photo, in JPEG (.jpg) file format, for approval. (The photo is the most critical part of your entry. We will provide you with detailed instructions on taking an acceptable photo in case the one you upload does not meet DV standards).
  • Child # 4

  • Accepted file types: jpeg, jpg.
    Upload a recently-taken passport size photo, in JPEG (.jpg) file format, for approval. (The photo is the most critical part of your entry. We will provide you with detailed instructions on taking an acceptable photo in case the one you upload does not meet DV standards).
  • Child # 5

  • Accepted file types: jpeg, jpg.
    Upload a recently-taken passport size photo, in JPEG (.jpg) file format, for approval. (The photo is the most critical part of your entry. We will provide you with detailed instructions on taking an acceptable photo in case the one you upload does not meet DV standards).
  • PART 3: ENTRY SUBMISSION COST

    Your DV-2021 Entry Submission Cost is the SUM of the Entry Submission Fee for the Primary Entrant ($30.00) and that of Each Secondary Entrant ($10.00). Pay by PayPal.
  • Price: $0.00