DV 2009 Online Payment Form

GREEN CARD D.V. LOTTERY 2010

LAW OFFICE OF JOSEPH FAMUYIDE

APPLICATION FORM & INSTRUCTIONS

Print and hand-write the form below, or complete the form online before printing. After completing the forms please print them, sign the application and send to us together with required photos and processing fee. DO NOT SEND THIS FORM TO D.V. PROGRAM. No more paper filing allowed. My office is soliciting to help you file. My Office has commenced receiving application. My office will file the application for you electronically in accordance with the new rules laid down by the U.S. Department of State. We will scan your photo to specification. Applicants in New York should come to my office to have their pictures taken digitally, or mail their photo to my office. Applicants in all around the world should send their applications directly to my office payment in dollar, Euro or pounds sterling. No other currency will be accepted. Applicants in Nigeria must send their application to my New York address directly or call 0805-692-3484 or 1-742-5572 for submission and payment in Naira

Click to print

Type of Application: Individual, with or without children ($25 U.S. Dollars or €25 Euro) Dual, with or without children ($50 U.S. Dollars or €50 Euro)
Method of Payment:

U.S. Money Order (U.S. Dollars or € Euro)	Postal Money Order (U.S. $ or € Euro)
Cash (U.S. Dollars or € Euro)	International Money Order (US $ or € )
Credit Card (PayPal)

TERMS OF AGREEMENT: I hereby agree to pay Joseph Rotimi Famuyide, Esq. as stipulated above for services in connection with the preparation and submission of my application to the Diversity Immigrant Visa Program (Green Card Lottery). I acknowledge applying to the program through the Law Office of Joseph Famuyide does not guarantee that I will win, but only afford me the opportunity of winning by ensuring my application complies with the rules for the green card program. I agree that I cannot claim a refund for fees paid to process my application. By signing below I accept these terms and conditions.
Applicant’s Signature	Date:

Send to:

Law Office Joseph Rotimi Famuyide

2750 Atlantic Avenue, Suite 100

Brooklyn, New York 11207

U.S.A

E-Mail: jfamuyide@aol.com

APPLICANT:

Full Name:
	Surname/Family Name	First Name	Middle Name
Date of Birth:	Date of Birth (dd/mm/yyyy)	Your native country: NOTE: Your Native Country is the country where you were born.
	For DV-2008 natives of the following countries were INELIGIBLE: See list	Important! If you were born in an ineligible country (please see above), there are two other ways you may be able to qualify. In some specific cases you can apply by claiming nativity in another country. See options
Place of Birth:
	City/Town	District/County/Province	Country

Country of Current Citizenship:

Gender

We must also determine if you meet the Education or Training requirements.

	Yes, I have completed the high school education requirement (12 years of elementary and secondary education).
	Yes, I have completed the training requirement (2 years work experience in an occupation requiring at least 2 years of training to perform).
	Yes, I have some college degree; Associate, Bachelors, Masters or PHD (Circle One)

Marital Status:

SPOUSE:

Full Name:
	Surname/Family Name	First Name	Other Names

Date of Birth:	Date of Birth (dd/mm/yyyy)

Place of Birth:
	City/Town	District/County/Province	Country

UNMARRIED CHILDREN UNDER 21 YEARS OF AGE: Number of Children:

Enter Gender M-Male F-Female	Full Name: (Surname, First, Other)	Date of Birth: (Day, Month, Year)	Place of Birth: (City/Town, District, Country)
Child 1:
Child 2:
Child 3:
Child 4:
Child 5:

APPLICANTS MAILING ADDRESS:	Country Where Principal Applicant Resides:

TELEPHONE NUMBER:

E-MAIL ADDRESS:

SIGNATURE: DATE

You may make a credit card payment through PayPal using the button on the next page.