Kobby Tech Solutions

American Visa Lottery

Electronic Diversity Visa Program 2026 Form

Please complete the form below. Please provide correct details to avoid disqualification of application.

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Step 1 of 3

Diversity Lottery 2025 Form

Please provide the correct information to avoid disqualification or difficulties when you are selected.

Entrant Information

Please use the exact name on Passport or ID Card
(Eg:. ECOWAS Card)
2. Gender
3. Birth Date
Enter Birth City Only. Do not enter District/County/Province/State.
Birth City unknown
Please don't tick if Birth City is filled.
6. Are you claiming eligibility based on the country where you were born?
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.
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 (must be taken in the last six months), 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.

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 recent photograph.


Clicking the 'Choose New Photo' button will allow you to look for and choose the file which is storing the photograph. Once chosen, the file name and the photo will display. If the photo is not correct, please click on the 'Choose New Photo' button to choose a new file.
8. Mailing Address
(optional)
11. E-mail Address
(NOTE: This e-mail address will be used to provide you with additional information if you are selected.)
12. What is the highest level of education you have achieved, as of today?
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 for a Diversity Visa.
13. What is your current marital status?
Legal separation is an arrangement when a couple remain married but live apart, following a court order.

If you and your spouse are legally separated, your spouse will not be able to immigrate with you through the Diversity Visa program.

You will not be penalized if you choose to enter the name of a spouse from whom you are legally separated. If you are not legally separated by a court order, you must include your spouse even if you plan to be divorced before you apply for the Diversity Visa.

Failure to list your eligible spouse is grounds for disqualification.

If your spouse is a U.S. citizen or Lawful Permanent Resident, do not list him/her in your entry.
Children include all biological children, legally adopted children, and stepchildren who are unmarried and under the age of 21 on the date you submit your entry. You must include all eligible children, even if they do not live with you or if they do not intend to apply for a Diversity Visa as your derivative. Failure to list all eligible children is grounds for disqualification. If your child is a U.S. citizen or Lawful Permanent Resident, do not list him/her in your entry.