Samir Ammarcha

    U.S. Department of State Bureau of Consular Affairs Electronic Diversity Visa Applicant Entry System: 12.10.1  Print    Help DV-2025 Submission Confirmation: Entry Received Success! Your entry for the 2025 Diversity Visa program was received on Saturday, October 7, 2023 at 7:38:29 PM EDT. Please do  NOT  close this window until you have printed this confirmation page or made a record of your Confirmation Number. Entrant Name: AMMARCHA, SAMIR Confirmation Number: 202573LBWJHZHGD5 Year of Birth: 1979 Digital Signature: D2498B830CEB1C11836D314B06C765E5307DF61E Thank you for your entry for the 2025 Diversity Visa Program. Please either print this page or make a record of the confirmation number before closing this window. You will not be able to retrieve this number after you close this window. You must retain your confirmation number in order to check your entry status via  Entrant Status Check  between May 4, 2024 and September 30, 2025 to determine whether your entry was selected fo

  Electronic Diversity Visa Entry Form OMB Control Number:  1405-0153 Form:  DS-5501 Expires:  08/31/2025 Estimated Burden:  30 minutes If you need to go back and make a correction, do  NOT  use the back button on your browser. Instead use the appropriate button here or below: Part One - Entrant Information 1. Name a. Last/Family Name     AMMARCHA b. First Name     SAMIR c. Middle Name      2. Gender Male 3. Birth Date July 10, 1979 4. City Where You Were Born KHEMIS MILIANA 5. Country Where You Were Born Algeria 6. Country of Eligibility for the DV Program Algeria 7. Entrant Photograph (Photograph received) 8. Mailing Address a. In Care Of (optional)     Samir Ammarcha b. Address Line 1     Villa EPLF N 8 c. Address Line 2 (optional)      d. City/Town     KHEMIS MILIANA e. District/County/Province/State     AIN DEFLA f. Postal Code/Zip Code     44225 g. Country     Algeria 9. Country Where You Live Today Algeria 10. Phone Number 213 792352606 11. E-mail Address samir.ammarcha@gmail.co