When to apply

US GREEN CARD LOTTERY 2023

Subject to change without noticeINFORMATION

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Have two years of experience within the last five years, in an occupa�on that required at least two yearsof pre job training.The main applicant must have a passport vaild for all countries.

The main applicant must be G.C.E. A/L qualified with passes in 3 subjects.OR

Full face colour photographs 2”x 2” of all persons listed on an entry form(Not Passport Size).Should not be edited / touched up.No headgear or spectacles should be worn.The photo should not be older then 6 months.

Basic Qualifica�ons

The Photographs

When to apply :

Service Charge

Note

In successful US Green Card Service since 2003.8/3/4, Sir Razik Fareed Mw, (Bristol Street) Colombo 01.0112393919, 0774276579www.bristolvisa.com / [email protected]

How to submit entry

The Green Card Lo�ery is conducted annually by the US State Department. It affords winners opportuni�es tomove to the US, if they have the basic qualifica�ons, and later obtain ci�zenship.

We have no representatives or branches anywhere and, have no Social Media a�liates.

Please send the Entry Form to us, duly completed, via email with :

Rupees 500/- for EACH PERSON listed on the entry form.

Your spouse may submit a separate entry form if he/she too possesses the basic qualifica�ons.Married applicants must include in their entry forms, names of their spouses and unmarried childrenunder 21 years of age, and their photographs.

A bank receipt for the total sum due on the entry form, credited to PEOPLE’S BANK (Duke Street)A/C No. 001100261194704 in favour of BRISTOLVISA.A photograph of each person listed on the entry form.Photocopies of pages 2, 3, 4 & 5 of the main applicant’s passport.

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(Our office is closed because of Covid 19).

BRISTOLVISA No: 8/3/4, Sir Razik Fareed Mw., Colombo 01. Tel: 0112393919, 0774276579 Registered in Sri Lanka Regd No: W/A 44843

Please read carefully

Between October 6th & November 9th 2021.

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BRISTOLVISA

This Application is issued free of

charge by Bristolvisa

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Read Well - fill up in BLOCK CAPITALS - mark ‘X’ to indicate your answer in the appropriate box.

Application Reference

2. Date of Birth :- Day 3. Gender :- Male Female

4. Place of Birth :-

Month Year

1a. Surname :-

NIC No :-

1b. Other Names :-

Office use only

BRISTOLVISA



5. Country of Birth :-

NAME AS IN PASSPORTPart One - The Applicant


15. Number of Children that are Unmarried and Under 21 years of Age :- Except children that are eitherU.S.Legal Permanent Residents or American Citizens.

Part Two - Spouse

Date of Birth :- Day Month Year Gender:- Male Female

16a. Surname :- 16b.Other Names :-

Place of Birth :- Country of Birth :-

13.What is your current marital status ?

Unmarried Divorced Widowed Legally SeparatedMarried and my spouse is NOT a U.S. citizen or U.S. Lawful Permanent Resident (LPR)Married and my spouse is a U.S. citizen or U.S. Lawful Permanent Resident (LPR)

14.WHAT IS THE HIGHEST LEVEL OF EDUCATION YOU HAVE ACHIEVED, AS OF TODAY ?You must indicate which one of the following represents your own highest level of educational achievement :-

G.C.E. A/L University Degree Some Doctorate Level CoursesVocational School Some Graduate Level Courses Doctorate DegreeSome University Courses Master’s Degree

8. Address:-

7. Applicant’s Photograph :-

09. Phone :- 10. E- mail (Mandatory)

11. Country where you live in today ?

12.Country of Eligibility if the applicant’s native country is different from Country of Birth :-If theApplicant is claiming nativity in a country other that his/her place of birth,this information must be indicatedon the entry.

8a.District :- 8b. Postal Code :-

� In colour against a light background.� Size 2” X 2” Full face, * Untouched / unedited and no older than 6 months.� EYEGLASSES should not be worn.� HEAD COVERINGS - Do not wear a hat or head covering that obscures the hair or hairline. Your

full face must be visible, and the head covering must not cast any shadows on your face.

Number :- Expiry date :- D D M M Y Y Y Y

6. Passport

U.S.A. ELECTRONIC DIVERSITY VISA ENTRY FORM FOR 2023

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BRISTOLVISA




Child 4

Surname :-


Gender :- Male FemaleDate of Birth :- Day Month Year

Child 5Surname :-


Gender :- Male Female Date of Birth :- Day Month Year

Child 3

Surname :-



Child 2

Surname :-


Gender :- Male Female Date of Birth :- Day Month Year

Surname :-

Part Three17. Children

Child 1

Other Names :-

Other Names :-

Other Names :-

Other Names :-

Other Names :-

BRISTOLVISANo: 8/3/4, Sir Razik Fareed Mw., Colombo 01.Tel : - 2 393919 / 0774 276 579www.bristolvisa.com



Please send the Entry Form to us, duly completed, via email with :

A bank receipt for the total sum due on the entry form, credited to PEOPLE’S BANK (Duke Street)A/C No. 001100261194704 in favour of BRISTOLVISA.A photograph of each person listed on the entry form.Photocopies of pages 2, 3, 4 & 5 of the main applicant’s passport.

[email protected]

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How to submit entry

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We have no representatives or branches anywhere and, have no Social Media affiliates.

Documents

When to apply