DV Lottery Registration Service

👤

Personal Information

As it appears on your passport

Last Name / Surname*

First Name*

Middle Name

Sex*

Date of Birth*

City of Birth*

Country of Birth*

Country of Eligibility (if different)

🛂

Passport Information

NEW DV-2027 requirement — valid, unexpired passport

⚠️ Starting DV-2027, all applicants must upload a scan of their passport's biographic and signature page. Make sure your passport is valid and not expired.

Passport Number*

Passport Expiry Date*

Passport Country of Issuance*

Passport Bio & Signature Page Scan (JPEG)*

📄

Click or drag your passport scan here

JPEG preferred · Clear, readable scan of bio + signature page

📸

Applicant Photo

Must meet State Department specifications

📋 Photo must be: recent (within 6 months), 600×600 pixels, white background, no glasses, no head coverings (unless religious), neutral expression, front-facing.

🖼️

Click or drag your passport-style photo here

JPEG · 600×600px · White background · Recent photo

📍

Contact & Mailing Address

For official correspondence

Email Address*

Phone Number*

Street Address (Line 1)*

Street Address (Line 2)

City*

Province / State*

Postal Code

Country*

🎓

Education & Work Experience

Minimum: high school diploma or 2 years qualifying work

Highest Level of Education*

Current Occupation / Job Title

💑

Marital Status & Family

Spouse and children under 21 must be listed

Marital Status*

Spouse Information

Spouse Last Name*

Spouse First Name*

Spouse Date of Birth*

Spouse Sex*

Spouse City of Birth

Spouse Country of Birth

Spouse Photo (JPEG)

🖼️

Upload spouse photo

JPEG · 600×600px

I have unmarried children under 21

📝

Additional Information

Anything else we should know

Have you ever been selected in a previous DV Lottery?

Preferred Language

Additional Notes

I confirm that all information provided is true and accurate to the best of my knowledge. I authorize this service to submit a DV Lottery entry on my behalf using the information provided. I understand a $1 registration fee is required by the U.S. State Department for DV-2027.

Your Gateway to the American Dream

Spouse Information

Application Received!