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ANSWER SHEET


PUT NAME HERE

1. Describe all efforts you made in pursuing the diversity lottery, including the amount of time you spent completing the online entry form at the U.S. Department of State’s Electronic Diversity Visa (E-DV) website.


2. Did you pay anyone to help you complete or file the online entry form at the U.S. Department of State’s Electronic Diversity Visa (E-DV) website; if so, whom did you pay, how much did you pay, and when did you pay?

3. Please list the amount of time you spent completing the online entry form at the U.S. Department of State's Electronic Diversity Visa (E-DV) website, gathering and filing supporting documents, and any money you spent preparing for and applying for the DV lottery, specifying the money spent and what the money was for.


4. Provide all names you have used, including aliases, on any paperwork submitted to any government entity in your country of citizenship.
Please send me complete responses to the questions above by May 20, 2022. After I receive your responses, but before filing, I will ask you to review final statement incorporating your responses along with a verification for you to sign regarding the accuracy of the information in the responses. If you have any questions or need clarification regarding the questions above, please feel free to contact me.
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