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  • Electronic Diversity Visa Entry Form Mircea Co

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    Deak Rodica
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    This document is a confirmation receipt for an entry into the 2011 Diversity Visa Lottery program. It provides the entrant's name, confirmation number, and year of birth. It instructs the entrant to retain the confirmation number in order to check the status of their entry online between July 2010 and June 2011. Winners will also be notified by mail, while non-winners will not be contacted. Multiple entries using the same person will disqualify the entrant from the lottery.

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    This document is a confirmation receipt for an entry into the 2011 Diversity Visa Lottery program. It provides the entrant's name, confirmation number, and year of birth. It instructs the entrant to retain the confirmation number in order to check the status of their entry online between July 2010 and June 2011. Winners will also be notified by mail, while non-winners will not be contacted. Multiple entries using the same person will disqualify the entrant from the lottery.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    43 views5 pages

    Electronic Diversity Visa Entry Form Mircea Co

    Uploaded by

    Deak Rodica
    This document is a confirmation receipt for an entry into the 2011 Diversity Visa Lottery program. It provides the entrant's name, confirmation number, and year of birth. It instructs the entrant to retain the confirmation number in order to check the status of their entry online between July 2010 and June 2011. Winners will also be notified by mail, while non-winners will not be contacted. Multiple entries using the same person will disqualify the entrant from the lottery.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 5

     

     
     
     
     
     
     
    OMB Control Number: 1405-0153
    ELECTRONIC DIVERSITY Form: DS-5501
    Expires: 05/31/2010
    VISA ENTRY FORM Estimated Burden: 30 minutes

    Submission Confirmation: Entry Received Submission


    Confirmation: Entry Received
                                                                
    Printer friendly version
    Success!

    Your entry
    for the 2011
    Diversity
    Visa Lottery
    Program
    Lottery
    Entry Form
    was received
    on Tuesday,
    November
    3, 2009 at
    11:12:16
    AM EST.
    Please do
    not close
    this window
    until you
    have
    printed this
    confirmatio
    n page or
    made a
    record of
    your
    Confirmatio
    n Number.
    Success!
    Entrant Name:
    Confirmation
    Number:
    Year of Birth:
    Thank you
    for your
    entry for the
    2011
    Diversity
    Visa Lottery.
    Please either
    print this
    page or
    make a
    record of
    the
    confirmatio
    n 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
    using the
    internet. You
    may check
    back at this
    link
    http://www.d
    vlottery.state
    .gov/ESC/
    between July
    1, 2010 and
    June 30,
    2011 to
    determine
    whether your
    entry was
    selected for
    further
    processing in
    the 2011 DV
    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 also
    receive a
    letter through
    their
    country's
    postal
    service
    notifying
    them of their
    selection.
    Entrants who
    are not
    selected for
    further
    processing
    will not
    receive any
    type of
    notification
    through mail.
    Do not
    submit
    additional
    Entry
    Forms with
    this person
    as the
    Primary
    Entrant!
    Multiple
    entries will
    disqualify
    the entrant
    from
    participatio
    n in the
    Lottery.
    Your entry for the 2011 Diversity Visa Lottery Program Lottery Entry Form was received
    on Tuesday, November 3, 2009 at 11:12:16 AM EST. Please do not close this window
    until you have printed this confirmation page or made a record of your Confirmation
    Number.
    Entrant Name:Copos, Mircea Ioan
    Confirmation Number:20111GSUMRFS78FE
    Year of Birth:1969
    Thank you for your entry for the 2011 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 using the
    internet. You may check back at this link http://www.dvlottery.state.gov/ESC/ between
    July 1, 2010 and June 30, 2011 to determine whether your entry was selected for further
    processing in the 2011 DV 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 also receive a letter through their country's postal service notifying them of
    their selection. Entrants who are not selected for further processing will not receive any
    type of notification through mail.
    Do not submit additional Entry Forms with this person as the Primary Entrant!
    Multiple entries will disqualify the entrant from participation in the Lottery.
     
     
     
     
     

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