DV Online Service Nepal
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Entry
Track
9861970858
Apply for DV Service
1) Name
First Name*
Middle Name
Last Name*
2) Gender
Select…
Male
Female
Other
3) Birth Date — AD
Month (MM)
Day (DD)
Year (YYYY)
4) City Where You Were Born
Enter
Birth City only
. Do not enter District/Country/Province/State.
5) PP Photo
Upload JPG/PNG or PDF as per requirement.
6) Mailing Address
Address Line 1*
City/Town*
District*
Province*
Select Province…
Koshi
Madhesh
Bagmati
Gandaki
Lumbini
Karnali
Sudurpashchim
Postal Code / Zip
7) Phone Number
8) Email Address
9) Highest Level of Education (as of today)
Select…
SEE/SLC
Diploma
+2
Bachelor
Master
10) Marital Status
Select…
Unmarried
Married (spouse not a US citizen)
Married (spouse is a US citizen)
Divorced
Widowed
Legally separated
11) Number of Children
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