Application for the Green Card Lottery DV-2026
SERVICE
[{"lid":"1724236088102","ls":"10","loff":"","li_type":"em","li_name":"green-card-email","li_title":"E-mail","li_subtitle":"Please provide the email address where you received the instructions from us.","li_ph":"ak@us-ak.com","li_req":"y","li_nm":"green-card-email"},{"lid":"1724236088103","ls":"20","loff":"","li_type":"in","li_name":"green-card-secondname","li_title":"Applicant\u2019s last name","li_subtitle":"In English as in the passport.","li_ph":"Ivanov","li_req":"y","li_nm":"green-card-secondname"},{"lid":"1724236088104","ls":"30","loff":"","li_type":"in","li_name":"green-card-name","li_title":"Applicant\u2019s name","li_subtitle":"In English as in the passport.","li_ph":"Ivan","li_req":"y","li_nm":"green-card-name"},{"lid":"1724236088105","ls":"40","loff":"","li_type":"rd","li_name":"green-card-sex","li_title":"Applicant\u2019s gender","li_req":"y","li_variants":"Male\nFemale","li_radcb":"rb","li_nm":"green-card-sex"},{"lid":"1724236088106","ls":"50","loff":"","li_type":"da","li_name":"green-card-birthday","li_title":"Applicant\u2019s date of birth","li_ph":"01.01.2000","li_req":"y","li_dateformat":"DD-MM-YYYY","li_datediv":"dot","li_nm":"green-card-birthday","li_datemask":"99.99.9999"},{"lid":"1724236088107","ls":"60","loff":"","li_type":"in","li_name":"green-card-birth-place","li_title":"Applicant\u2019s place of birth","li_subtitle":"Place of your birth (as in the birth certificate)","li_ph":"Amsterdam","li_req":"y","li_nm":"green-card-birth-place"},{"lid":"1724236088108","ls":"70","loff":"","li_type":"in","li_name":"green-card-country-birth-place","li_title":"Applicant's country of birth","li_subtitle":"Country of your birth (current name). ","li_ph":"Netherlands","li_req":"y","li_nm":"green-card-country-birth-place"},{"lid":"1724236088109","ls":"80","loff":"","li_type":"ta","li_name":"green-card-fact-address","li_title":"Full mailing address of the applicant","li_subtitle":"Actual residential address in the format: country, postal code, region\/territory, city, street, house number, apartment.","li_ph":"Netherlands, 201241, Amsterdam, North Holland, Kleine Houtstraat 105","li_req":"y","li_rows":"2","li_nm":"green-card-fact-address"},{"lid":"1724236088110","ls":"90","loff":"","li_type":"in","li_name":"green-card-country","li_title":"Country of residence of the applicant","li_subtitle":"If you live in multiple countries, specify the one where you reside for more than 6 months a year.","li_ph":"Netherlands","li_req":"y","li_nm":"green-card-country"},{"lid":"1724236088111","ls":"100","loff":"","li_type":"ph","li_name":"green-card-phone-number","li_title":"Applicant's mobile phone number","li_req":"y","li_masktype":"a","li_nm":"green-card-phone-number"},{"lid":"1724236088112","ls":"110","loff":"","li_type":"rd","li_name":"green-card-education","li_title":"Applicant's level of education","li_subtitle":"The highest level of your education to date","li_req":"y","li_variants":"Middle school diploma \nHigh school diploma\nVocational school, college, or technical school\nPursuing a Bachelor\u2019s degree\nBachelor\u2019s degree\nPursuing a Master\u2019s degree\nMaster\u2019s degree\nPursuing a Doctorate\/PhD\nDoctorate\/PhD degree","li_radcb":"rb","li_nm":"green-card-education"},{"lid":"1724236088113","ls":"120","loff":"","li_type":"rd","li_name":"green-card-spouse","li_title":"Applicant's marital status","li_subtitle":"Marital status should be indicated according to your legal status and available documents","li_variants":"Never married\nSpouse without U.S. citizenship\nSpouse with U.S. citizenship\nDivorced\nWidow\/Widower","li_radcb":"rb","li_nm":"green-card-spouse"},{"lid":"1724236088114","ls":"130","loff":"","li_type":"rg","li_name":"green-card-kids","li_title":"Number of children of the applicant","li_subtitle":"Number of unmarried children aged 20 or younger","li_value":"0","li_vmin":"0","li_vmax":"6","li_step":"1","li_nm":"green-card-kids"},{"lid":"1724236088115","ls":"140","loff":"","li_type":"uw","li_name":"green-card-sender-photos","li_title":"Photo of the applicant","li_subtitle":"The photo for the U.S. Green Card must meet the lottery requirements","li_req":"y","li_uwkey":"yandex-c32bdef724916df87daee7d","li_nm":"green-card-sender-photos"},{"lid":"1724236088116","ls":"150","loff":"y","li_type":"qn","li_name":"green-card-kids_2","li_title":"\u041a\u043e\u043b\u0438\u0447\u0435\u0441\u0442\u0432\u043e \u0434\u0435\u0442\u0435\u0439","li_subtitle":"\u0421\u043a\u043e\u043b\u044c\u043a\u043e \u0443 \u0432\u0430\u0441 \u0434\u0435\u0442\u0435\u0439 \u0432 \u0432\u043e\u0437\u0440\u0430\u0441\u0442\u0435 \u043f\u043e 20 \u043b\u0435\u0442 \u0432\u043a\u043b\u044e\u0447\u0438\u0442\u0435\u043b\u044c\u043d\u043e, \u043a\u043e\u0442\u043e\u0440\u044b\u0435 \u043d\u0435 \u0441\u043e\u0441\u0442\u043e\u044f\u0442 \u0432 \u0431\u0440\u0430\u043a\u0435. ","li_ph":"0","li_req":"y","li_value":"0","li_nm":"green-card-kids_2"},{"lid":"1724236088117","ls":"160","loff":"","li_type":"in","li_name":"green-card-secondname-spouse","li_title":"Spouse's last name","li_subtitle":"In English as in the passport.","li_ph":"Ivanov","li_req":"y","li_nm":"green-card-secondname-spouse"},{"lid":"1724236088118","ls":"170","loff":"","li_type":"in","li_name":"green-card-name-spouse","li_title":"Spouse's name","li_subtitle":"In English as in the passport.","li_ph":"Ivan","li_req":"y","li_nm":"green-card-name-spouse"},{"lid":"1724236088119","ls":"180","loff":"","li_type":"rd","li_name":"green-card-spouse-sex","li_title":"Spouse's gender","li_req":"y","li_variants":"Male\nFemale","li_radcb":"rb","li_nm":"green-card-spouse-sex"},{"lid":"1724236088120","ls":"190","loff":"","li_type":"da","li_name":"green-card-spouse-birthday","li_title":"Spouse\u2019s date of birth","li_ph":"01.01.2000","li_req":"y","li_dateformat":"DD-MM-YYYY","li_datediv":"dash","li_nm":"green-card-spouse-birthday","li_datemask":"99-99-9999"},{"lid":"1724236088121","ls":"200","loff":"","li_type":"in","li_name":"green-card-spouse-birth-place","li_title":"Spouse\u2019s place of birth","li_subtitle":"Place of spouses birth (as shown on the birth certificate).","li_ph":"Haarlem","li_req":"y","li_nm":"green-card-spouse-birth-place"},{"lid":"1724236088122","ls":"210","loff":"","li_type":"in","li_name":"green-card-spouse-country-birth-place","li_title":"Spouse\u2019s country of birth","li_subtitle":"Spouses country of birth (current name). 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(as shown on the birth certificate)","li_ph":"Russia","li_nm":"green-card-country-birth-place_kid"},{"lid":"1724236088130","ls":"290","loff":"","li_type":"uw","li_name":"green-card-kid-photos","li_title":"Photo of the child\u200b","li_subtitle":"The photo of the child for the U.S. Green Card must meet the lottery requirements","li_req":"y","li_uwkey":"yandex-c32bdef724916df87daee7d","li_multiupl":"y","li_nm":"green-card-kid-photos"},{"lid":"1724236088131","ls":"300","loff":"","li_type":"in","li_name":"green-card-secondname_2kid","li_title":"Secondname of the 2nd child","li_subtitle":"In English as in the passport.","li_ph":"Ivanov","li_nm":"green-card-secondname_2kid"},{"lid":"1724236088132","ls":"310","loff":"","li_type":"in","li_name":"green-card-name_2kid","li_title":"Name of the 2nd child","li_subtitle":"In English as in the 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the birth certificate)","li_ph":"Russia","li_nm":"green-card-country-birth-place_2kid"},{"lid":"1724236088137","ls":"360","loff":"","li_type":"uw","li_name":"green-card-2kid-photos","li_title":"Photo of the 2nd child","li_subtitle":"The photo of the child for the U.S. Green Card must meet the lottery requirements","li_req":"y","li_uwkey":"yandex-c32bdef724916df87daee7d","li_multiupl":"y","li_nm":"green-card-2kid-photos"},{"lid":"1724236088138","ls":"370","loff":"","li_type":"in","li_name":"green-card-secondname_3kid","li_title":"Secondname of the 3rd child","li_subtitle":"In English as in the passport.","li_ph":"Ivanov","li_nm":"green-card-secondname_3kid"},{"lid":"1724236088139","ls":"380","loff":"","li_type":"in","li_name":"green-card-name_3kid","li_title":"Name of the 3rd child","li_subtitle":"In English as in the passport.","li_ph":"Ivan","li_nm":"green-card-name_3kid"},{"lid":"1724236088140","ls":"390","loff":"","li_type":"da","li_name":"green-card-birthday_3kid","li_title":"Date of birth of the 3rd child","li_ph":"01.01.2000","li_dateformat":"DD-MM-YYYY","li_datediv":"dash","li_nm":"green-card-birthday_3kid","li_datemask":"99-99-9999"},{"lid":"1724236088141","ls":"400","loff":"","li_type":"rd","li_name":"green-card-sex-3kid","li_title":"Gender of the 3rd child","li_variants":"Male\nFemale","li_radcb":"rb","li_nm":"green-card-sex-3kid"},{"lid":"1724236088142","ls":"410","loff":"","li_type":"in","li_name":"green-card-birth-place-3kid","li_title":"Place of birth of the 3rd child","li_subtitle":"Place of birth (as shown on the birth certificate)","li_ph":"Moscow","li_nm":"green-card-birth-place-3kid"},{"lid":"1724236088143","ls":"420","loff":"","li_type":"in","li_name":"green-card-country-birth-place_3kid","li_title":"Country of birth of the 3rd child","li_subtitle":"Country of birth (as shown on the birth 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of the 5th child","li_ph":"01.01.2000","li_dateformat":"DD-MM-YYYY","li_datediv":"dash","li_nm":"green-card-birthday_5kid","li_datemask":"99-99-9999"},{"lid":"1724236088155","ls":"540","loff":"","li_type":"rd","li_name":"green-card-sex-5kid","li_title":"Gender of the 5th child","li_variants":"Male\nFemale","li_radcb":"rb","li_nm":"green-card-sex-5kid"},{"lid":"1724236088156","ls":"550","loff":"","li_type":"in","li_name":"green-card-birth-place-5kid","li_title":"Place of birth of the 5th child","li_subtitle":"Place of birth (as shown on the birth certificate)","li_ph":"Moscow","li_nm":"green-card-birth-place-5kid"},{"lid":"1724236088157","ls":"560","loff":"","li_type":"in","li_name":"green-card-country-birth-place_5kid","li_title":"Country of birth of the 5th child","li_subtitle":"Country of birth (as shown on the birth certificate)","li_ph":"Russia","li_nm":"green-card-country-birth-place_5kid"},{"lid":"1724236088158","ls":"570","loff":"","li_type":"uw","li_name":"green-card-5kid-photos","li_title":"Photo of the 5th child","li_subtitle":"The photo of the child for the U.S. Green Card must meet the lottery requirements","li_req":"y","li_uwkey":"yandex-c32bdef724916df87daee7d","li_multiupl":"y","li_nm":"green-card-5kid-photos"},{"lid":"1724236088159","ls":"580","loff":"","li_type":"in","li_name":"green-card-secondname_6kid","li_title":"Secondname of the 6th child","li_subtitle":"In English as in the passport.","li_ph":"Ivanov","li_nm":"green-card-secondname_6kid"},{"lid":"1724236088160","ls":"590","loff":"","li_type":"in","li_name":"green-card-name_6kid","li_title":"Name of the 6th child","li_subtitle":"In English as in the passport.","li_ph":"Ivan","li_nm":"green-card-name_6kid"},{"lid":"1724236088161","ls":"600","loff":"","li_type":"da","li_name":"green-card-birthday_6kid","li_title":"Date of birth of the 6th child","li_ph":"01.01.2000","li_dateformat":"DD-MM-YYYY","li_datediv":"dash","li_nm":"green-card-birthday_6kid","li_datemask":"99-99-9999"},{"lid":"1724236088162","ls":"610","loff":"","li_type":"rd","li_name":"green-card-sex-6kid","li_title":"Gender of the 6th child","li_variants":"Male\nFemale","li_radcb":"rb","li_nm":"green-card-sex-6kid"},{"lid":"1724236088163","ls":"620","loff":"","li_type":"in","li_name":"green-card-birth-place-6kid","li_title":"Place of birth of the 6th child","li_subtitle":"Place of birth (as shown on the birth certificate)","li_ph":"Moscow","li_nm":"green-card-birth-place-6kid"},{"lid":"1724236088164","ls":"630","loff":"","li_type":"in","li_name":"green-card-country-birth-place_6kid","li_title":"Country of birth of the 6th child","li_subtitle":"Country of birth (as shown on the birth certificate)","li_ph":"Russia","li_nm":"green-card-country-birth-place_6kid"},{"lid":"1724236088165","ls":"640","loff":"","li_type":"uw","li_name":"green-card-6kid-photos","li_title":"Photo of the 6th child","li_subtitle":"The photo of the child for the U.S. Green Card must meet the lottery requirements","li_req":"y","li_uwkey":"yandex-c32bdef724916df87daee7d","li_multiupl":"y","li_nm":"green-card-6kid-photos"},{"lid":"1724236088166","ls":"650","loff":"y","li_type":"uw","li_name":"green-card-sender-photos","li_title":"\u0424\u043e\u0442\u043e \u0437\u0430\u044f\u0432\u0438\u0442\u0435\u043b\u044f","li_subtitle":"\u0424\u043e\u0442\u043e\u0433\u0440\u0430\u0444\u0438\u044f \u043d\u0430 Green Card \u0421\u0428\u0410 \u0434\u043e\u043b\u0436\u043d\u0430 \u0441\u043e\u043e\u0442\u0432\u0435\u0442\u0441\u0442\u0432\u043e\u0432\u0430\u0442\u044c \u0442\u0440\u0435\u0431\u043e\u0432\u0430\u043d\u0438\u044f\u043c \u043b\u043e\u0442\u0435\u0440\u0435\u0438","li_req":"y","li_uwkey":"google-274d41dde49e0421d309c23","li_multiupl":"y","li_nm":"green-card-sender-photos_2"},{"lid":"1724236088167","ls":"660","loff":"y","li_type":"uw","li_name":"green-card-spouse-photos","li_title":"\u0424\u043e\u0442\u043e \u0441\u0443\u043f\u0440\u0443\u0433\u0430","li_subtitle":"\u0424\u043e\u0442\u043e\u0433\u0440\u0430\u0444\u0438\u044f \u043d\u0430 Green Card \u0421\u0428\u0410 \u0434\u043e\u043b\u0436\u043d\u0430 \u0441\u043e\u043e\u0442\u0432\u0435\u0442\u0441\u0442\u0432\u043e\u0432\u0430\u0442\u044c \u0442\u0440\u0435\u0431\u043e\u0432\u0430\u043d\u0438\u044f\u043c \u043b\u043e\u0442\u0435\u0440\u0435\u0438","li_req":"y","li_uwkey":"google-274d41dde49e0421d309c23","li_multiupl":"y","li_nm":"green-card-spouse-photos_2"},{"lid":"1724236088168","ls":"670","loff":"","li_type":"uw","li_name":"green-card-passports-scans","li_title":"Passport scans (optional)","li_subtitle":"For a double-check, upload scans of all applicants passports. If a passport is unavailable, you can use a scan of the national passport instead.","li_uwkey":"yandex-c32bdef724916df87daee7d","li_multiupl":"y","li_nm":"green-card-passports-scans"},{"lid":"1724236088169","ls":"680","loff":"","li_type":"cb","li_label":"I have read and accepted the privacy policy terms","li_nm":"Checkbox"}]
You're just one step away from participating in the lottery! Prepare the participants' photos, passports, and let's get started!
Make sure you read the instructions for completing the Green Card application.
