Enter Entrant Information
1. Confirmation
Number:
In the space below,
type the confirmation number that was given when you applied.
Confirmation Number
2. Last / Family Name:
Provide the primary
entrant name exactly as entered on the Diversity Visa Lottery Form, including
punctuation. If no name was provided, select the option labeled, "No
Family/Last Name" below.
Last / Family name
No Last/Family Name
3. Year of Birth:
Provide the year of
birth for the primary entrant.
Year of birth
4. Authentication
Type the characters as
they appear in the picture.
Enter captcha code
