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Applicant Entry Systemv10.00.00 |
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ELECTRONIC DIVERSITY VISA ENTRY FORM | OMB ControlNumber: 1405-0153
Form: DS-5501
Expires: 07/31/2013
Estimated Burden: 30 minutes |
Submission Confirmation: Entry Received |
Success! |                                                                                                                        |
Your entry for the 2014 Diversity Visa Lottery program was received on Sunday, October 7, 2012 at 8:10:32 PM EST. Please doNOT close thiswindow until you have printed this confirmation page or made a record of your Confirmation Number. Entrant Name: | RIOS, JOSE LUIS |
Confirmation Number: | 20141IY4Q62PQF8K |
Year of Birth: | 1985|
Digital Signature: | 19A51ECF22448330BEE8D6F060C750B3B1699FCB |
Thank you for your entry for the 2014 Diversity Visa Lottery.Please either print this page or make a record of the confirmationnumber 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 statusvia http://www.dvlottery.state.gov/ESC/ between May 1, 2013 and September 30, 2014 to determine whether your entry was selected for further processing in the 2014 Diversity Visa Lottery. You will be REQUIRED to enteryour 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 fromthe 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 2014 DiversityVisa Lottery. |
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PAPERWORK REDUCTION ACT: Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time required for searching...