GREEN CARD D.V. LOTTERY 2009

LAW OFFICE OF JOSEPH R. FAMUYIDE

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Print & Mail-in Form

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

 

Select 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)

 

Select Method of Payment:

Credit Card (U.S. $  or  € Euro)

U.S. Money Order (U.S. Dollars or € Euro)

Name on Card

Postal Money Order (U.S. $  or  € Euro)

Card #         

Cash (U.S. Dollars or € Euro)

Expiration date Card Security #

International Money Order (US $ or € )

 

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: 

Requirements:
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 College Degree; Associate, Bachelors, Masters or PHD. (Circle One)

Native country:
 
NOTE: Your Native Country is the country where you were born.

For DV-2009, natives of the following countries were INELIGIBLE: See list   NOTE: If you were born in an ineligible country, 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

 
Applicant Information:

Surname/Family Name

First Name

Middle Name

Date of Birth (dd/mm/yyyy)

Gender
 Female Male

Marital Status
SingleMarried SeparatedDivorced

City/Town

District/County/Province

Country of Current Citizenship  

E-mail

Telephone Number
 

 

 

Spouse & Children:     

Surname/Family Name

First Name

Middle Name

Date of Birth (dd/mm/yyyy)

Gender
Female Male

Number of Children

City/Town

District/County/Province

Country of Current Citizenship  

 

Unmarried Children Under 21 Years of Age: 

 

Full Name:

(Surname, First, Other)

Date of Birth:

(Day, Month, Year)

Place of Birth:

(City/Town, District, Country) (Gender)

Child 1:

M/F

Child 2:

M/F

Child 3:

M/F

Child 4:

M/F

Child 5:

M/F

 

Applicants Mailing Address:

Name of Country Where the Principal Applicant Resides: 
 

 

 

 

 

Please mail the following items:

√ the completed and signed lottery registration form

√ a recent photograph of the applicant, including spouse & children

√ payment for the services

√ a signed terms of agreement form

Send to:

Law Office Joseph Rotimi Famuyide

2750 Atlantic Avenue, Suite 100

Brooklyn, New York 11207

U.S.A

 

 SIGNATURE: DATE