DV Lottery Application – Divorced or Widowed

Applying for the DV Lottery

Note on the application fee:
The US Diversity Visa Lottery application fee of US$1 per application will be paid.

Applicants must obtain a passport to complete the application.

Personal information

Passport photo *

Email Address *

Phone number *

WhatsApp number *

Country of birth *

City of birth *

Which country do you currently live in? (optional)

Full current address (street, city, governorate) *

Last degree obtained *

5*5 photo with white background (no Photoshop) *

Boys information

Do you have unmarried children under 21? *

How many children? *

First child

Full name (first, middle and last) *

Date of birth *

Country of birth *

City of birth *

5*5 photo with white background (no Photoshop) *

Second child

Full name (first, middle and last) *

Date of birth *

Country of birth *

City of birth *

5*5 photo with white background (no Photoshop) *

Third child

Full name (first, middle and last) *

Date of birth *

Country of birth *

City of birth *

5*5 photo with white background (no Photoshop) *

Fourth child

Full name (first, middle and last) *

Date of birth *

Country of birth *

City of birth *

5*5 photo with white background (no Photoshop) *

Fifth child

Full name (first, middle and last) *

Date of birth *

Country of birth *

City of birth *

5*5 photo with white background (no Photoshop) *

Sixth child

Full name (first, middle and last) *

Date of birth *

Country of birth *

City of birth *

5*5 photo with white background (no Photoshop) *

Seventh child

Full name (first, middle and last) *

Date of birth *

Country of birth *

City of birth *

5*5 photo with white background (no Photoshop) *

Eighth child

Full name (first, middle and last) *

Date of birth *

Country of birth *

City of birth *

5*5 photo with white background (no Photoshop) *

Ninth child

Full name (first, middle and last) *

Date of birth *

Country of birth *

City of birth *

5*5 photo with white background (no Photoshop) *

Tenth child

Full name (first, middle and last) *

Date of birth *

Country of birth *

City of birth *

5*5 photo with white background (no Photoshop) *

Your Order

Product	Subtotal
Applying for the U.S. Diversity Visa Lottery (American Lottery) for Divorced or Widowed Applicants × 1	3,00 $
Subtotal	3,00 $
Total	3,00 $

InstaPay

2$ = 110 EGP

3$ = 165 EGP

4$ = 220 EGP

To transfer via InstaPay: Use the payment address visatashera@instapay Or click here

Choose wallet

Sender information

Transfer receipt
Vodafone Cash

2$ = 110 EGP

3$ = 165 EGP

4$ = 220 EGP

To transfer via Vodafone Cash: Use 01008906461

Choose wallet

Sender’s number

Transfer receipt
USDT & USDC network transfer

USDT & USDC — network: BNB Smart Chain (BEP20)
Wallet address:
0x9cf289e4479be40c870127e32e198190df199afd
Binance UID: 786370272
Bybit UID: 428683532
Send the order amount in US dollars as USDT or USDC over the BEP20 network only, then upload a screenshot of the transfer receipt.

Choose wallet

Sender information ℹ

Transfer receipt
Pay by bank card Visa&Mastercard
PayPal

Payment by PayPal

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