ELECTRONIC DIVERSITY VISA ENTRY FORM OMB Control Number: 1405-0153
Form: DS-5501
Expires: 05/31/2010
Estimated Burden: 30 minutes
Submission Confirmation: Entry Received
Success! Printer friendly version
Your entry for the 2011 Diversity Visa Lottery Program Lottery Entry Form was received on Wednesday, November 25, 2009 at 1:40:27 PM EST. Please do not close this window until you have printed this confirmation page or made a record of your Confirmation Number.
Entrant Name: Hoque, Ezazul
Confirmation Number: 20111U3SOEP3UZEV
Year of Birth: 1991
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.
PAPERWORK REDUCTION ACT: Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time required for searching existing data sources, gathering the necessary data, providing the information required, and reviewing the final collection. In accordance with 5 CFR 1320 5(b), persons are not required to respond to the collection of this information unless this form displays a currently valid OMB control number. Send comments on the accuracy of this estimate of the burden and recommendations for reducing it to: U.S. Department of State (A/ISS/DIR) Washington, D.C. 20520.
Consular Affairs Main Page | About Us | Feedback | Contact Us | Search | Top of Page
This site is managed by the Bureau of Consular Affairs, U.S. Department of State. External links to other Internet sites should not be construed as an endorsement of the views contained therein.
Copyright Information | Disclaimers | Other U.S. Government Information
