Diversity Visa -DV- APPLICATION - Professional Service Provided By Ethiopis Travel ዲቪ ፡ ፈጣን ማመልከቻ

Applicant's FIRST, MIDDLE, and LAST NAME *

Applicant's Date of Birth *

Applicant's Gender *

Male

Female

City Where Applicant Was Born *

Country Where Applicant Was Born *

Country of Eligibility for the DV Program (citizenship) *

Applicant's Photograph (If you can't attach a photograph, simply mail it out along with the payment to our office address)

Mailing Address *

Country Where Applicant Lives Today *

Phone Number *

Your Email Address *

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

High School

Some University Courses

College Diploma

University Degree

Applican'ts Marital Status?
If you are married /and or have children, simply mark the correct box and when finished with this application, print the confirmation email you will receive from us and on the back provide information about your spouse and children and along with their pictues. You can either scan and email their pictures and names to our office at ethiopistravel@gmail.com or mail it to our office address so that we can add them the application you submitted. Our office address is : Ethiopis Travel, 9304 Forest Lane. Suite 231, Dallas, Texas 75243. *

Married with Children

Married with no children

Single, no children

Payment for Services (If paying by debit or credit card) -Provide full name on the card, card numbers, expiration date, security code on back, and billing address. Separate information by comas. $40.00 USD for family (more than 1 person on the application) or 25.00 for individual (single person)

Our website is www.ethiopis.com

By checking the box below , you acknowledge that you are aware that Ethiopis Travel is simply providing you its professional services in helping you submit your DV applications for you and/or family members correctly and in a timely manner and does not , in any way, guarantee that you will or will not win the Diversity Visa. Remeber you can fill out this application for you or for any of your relatives or friends that reside anywhere in the world. You have an equal chance of winning the visa as anybody else who has applied for it. EthiopiS Travel will make sure that your application is submitted correctly and by the deadline to give you or your relatives a chance to win the visa.

Please check the box as your electronic signatue and click on the submit button at the bottom *

Please check this box to indicate that you understand the conditions stated above and click on submit at the bottom