Register for the American Visa Lottery Today!

Register for the DV-2026 Visa Lottery Today!

Your American dream awaits! Register for DV-2026 Visa Lottery now. Quick, easy, life-changing. Don’t miss out. Fill the form below.Please note: – This form is for DV-2026 program registration. – An application fee of GHS 50.00 is required after submission. – You’ll be notified of your registration status after payment.”

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Passport Picture

Please upload your passport-size photograph. Recommended size is 600px by 600px. We will however resize and work on your photo.

Your Name*

Gender*

Date of Birth*

Place of Birth*

Country of Birth*

Do you have a passport*

Full Name*

Full Name as on Passport Surname first followed by Middle and last name

Passport Number*

Passport Expiration Date:*

Country/Authority of Issuance:*

Mailing Address

In Care Of (optional)

Address Line 1*

Address Line 2

City/Town*

District/County/Province/Region*

Postal Code/Zip Code

Country

Country Where You Live Today*

Phone Number*

Email*

Confirm Email*

What is the highest level of education you have achieved, as of today?*

What is your current marital status?

Number of Children

Spouse Name*

Surname

Middle Name

First Name

Spouse Date of Birth*

City Where Spouse Was Born*

Spouse Photograph

Child #1 Name*

Birth Date*

Gender*

Birth City*

Do not enter District/County/Province/State.

Country Where Child Was Born*

Child Photograph

Add another child*

Child #2 Name*

Birth Date*

Gender*

Birth City*

Do not enter District/County/Province/State.

Country Where Child Was Born*

Child Photograph

If you have more than two children, kindly forward the details of the third and fourth via WhatsApp at 0205802794 or 0544398827.

This field should be left blank

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