DV - 2001 LIST OF QUALIFYING COUNTRIES BY REGION

A F R I C A

ALGERIA			EGYPT			LIBYA		SEYCHELLES
ANGOLA			EQUATORIAL GUINEA	MADAGASCAR	SIERRA LEONE
BENIN			ERITREA			MALAWI		SOMALIA	
BOTSWANA		ETHIOPIA		MALI		SOUTH AFRICA
BURKINA FASO		GABON			MAURITANIA	SUDAN
BURUNDI			GAMBIA			MAURITIUS	SWAZILAND
CAMEROON		GHANA			MOROCO		TANZANIA
CAPE VERDE		GUINEA			MOZAMBIQUE	TOGO
CENTRAL AFRICAN REPUBLIC			NAMIBIA		TUNISIA
CHAD			GUINEA-BISSAU		NIGER		UGANDA
COMOROS			KENYA			NIGERIA		ZAMBIA
CONGO			LESOTHO			RWANDA		ZIMBABWE
CONGO DEMOCRATIC REPUBLIC (ICORY COST)		SAO TOME
DJIBPUTI		LIBERIA			SENEGAL

A S I A

AFGHANISTAN LEBANON BAHRAIN MALAYSIA BANGLADESH MALDIVES BHUTAN MANGOLIA BRUNEI NEPAL BURMA OMAN CAMBODIA PAKISTAN HONG KONG QATAR INDONESIA SAUDI ARABIA IRAN SINGAPORE IRAQ SRI LANKA ISRAEL SYRIA JAPAN THAILAND JORDAN UNITED ARAM EMIRATES NORTH AMERICA YEMEN KUWAIT LAOS

E U R O P E

ALBANIA LITHUANIA ANDORRA LUXEMBOURG ARMENIA MACEDONIA AUSTRIA MALTA AZERBAIJAN MOLDOVA BELARUS MONACO BELGUIM MONTENEGRO BOSNIA AND HERZEGOVINA NETHERLANDS BULGARIA NORTHERN IRELAND CROATIA NORWAY CYPRUS PORTUGAL CZECH REPUBLIC ROMANIA DENMARK RUSSIA ESTONIA SAN MARINO FINLAND SERBIA FRANCE SLOVAKIA GEORGIA SPAIN GERMANY SWEDEN GREECE SWITZERLAND HUNGARY TAJIKISTAN ICELAND TURKEY IRELAND TURKMENISTAN ITALY UKRAINE KAZAKSTAN UZBEKISTAN KYRGYZSTAN VATICAN CITY LATVIA LICHTENSTEIN

N O R T H A M E R I C A

BAHAMAS

O C E A N I A

AUSTRALIA MICRONESIA PAPUA NEW GUINEA VANUATU FIJI NAURU SOLOMON ISLAND WESTERN SAMOA KIRIBATI NEW ZEALAND TONGA MARSHALL ISLANDS PALAU TUVALU

SOUTH AMERICA, CENTRAL AMERICA, AND THE CARIBBEAN

ANTIGUA AND BARBUDA	COSTA RICA	HOUNURAS	SURINAME
ARGENTINA		CUBA		NICARAGUA	TRINIDAD AND TOBAGO
BARBADOS		DOMINICA	PANAMA		URUGUAY
BELIZE			ECUADOR		PARAGUAY	VENEZUELA
BOLIVIA			GRENADA		PERU
BRAZIL			GUATEMALA	SAINT KITTS
CHILE			GUYANA		SAINT VINCENT

SAMPLE ENTRY FORM: You can use any plain white paper to write the information as shown on this form.

Information Form, Diversity Lottery 2001

1. Name:

_________________________________________________
Last, First, Middle

2. Date of Birth:
__________/___________/__________
Day, Month, Year

3. Place of Birth (City, Province or other political subdivision and Country):

_________________________________________________________

4. Are Spouse & Child[ren] applying? Yes / No

Include(1) Full Name(Last,First,Middle) (2) Date of Birth (3)Place of Birth(city,province,country)

______________________________________________________________

5. Current Place of Residence & Mailing Address:

______________________________________________________________
No. & Name of Street, Apartment No. ______________________________________________________________
City, State/Province, Country, Zip Code

6. Applicant's Native Country if Different from Country of Birth

____________________________________________________________

7.PHOTOGRAPH: (Attach a recent, preferably less than 6 months old, photograph of the applicant, 1.5 inches (37 mm) square in size, with the applicant's name printed on the back. The photograph (not a photocopy) should be attached to the entry with clear tape--do NOT use staples or paperclips, which can jam the mail processing equipment.)

8. SIGNATURE: ________________________________________________________

Use the following example when you mail your Envelope

This information is provided for those who needs help and learn about Diversity Immigrant Visa Program(DV-2001).

Wube Kumsa
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