Form Dsp-122 - Supplemental Registration For The Diversity Visa - Dsp122

Download a blank fillable Form Dsp-122 - Supplemental Registration For The Diversity Visa - Dsp122 in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Dsp-122 - Supplemental Registration For The Diversity Visa - Dsp122 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

OMB APPROVAL NO. 1405-0098

U.S. Department of State

EXPIRATION DATE: 03-31-2016

SUPPLEMENTAL REGISTRATION FOR

ESTIMATED BURDEN: 30 MINUTES

THE DIVERSITY IMMIGRANT VISA PROGRAM

*See Page 2

INSTRUCTIONS

The following is a supplemental registration form for the Diversity Immigrant Visa Program under Section 203(c) of the Immigration and Nationality Act.

Clearly print or type all answers in the English language. Answer all questions.

Using the enclosed self-adhesive return address label, immediately send this form along with Form DS-230 to: Diversity Immigrant Visa Program,

Kentucky Consular Center, 3505 N. Highway 25W, Williamsburg, KY 40769. Failure to follow instructions will disqualify your application.

You will be notified by mail of your appointment date, therefore the answer to question No. 3 must be accurate.

1. Name (Last, First, MI.)

2. Rank Order Number (Case Number on Envelope)

3. Current Mailing Address (Address at which you receive your mail. Give any change of mailing address here.)

Telephone Number (Optional)

4. Name of United States Consular Office where you would like to Process your Application

This will usually be the consular office nearest the place you live. However, please note that some U.S. Embassies and Consulates do not process

immigrant visas. If you are not sure whether the U.S. Embassy or Consulate nearest you processes immigrant visas, or if you do not know which is the

U.S. Embassy or Consulate nearest you, please list the city and country where you live. If you live in the United States and plan to adjust status with

the United State Citizenship and Immigration Services (USCIS) please list "USCIS"; if you live in the United States but you intend to return abroad to be

interviewed, please list the U.S. Embassy or Consulate that processes immigrant visas for the area where you lived before you came to the United

States.

5. The Country you Listed as your Native Country on your Diversity Visa Program Application

In most cases, this will be the country where you were born. You may also claim the country of birth of your husband or wife. In addition,

you may claim the country of birth of either of your parents, if neither of your parents lived in, or was born in, the country where you were born.

6. Education

a. Check the highest level of education completed.

High School, No Degree

High School Diploma

Vocational School

College, No Degree

University Degree