CONFUSION OVER ENTERING NAME ON THE FORM

[samir mohammad ali]

Hey there I know this is kinda a last minute but I just found out about electronic diversity visa lottery thought of giving it a try.
I have little difficulty in filling out the form with regards to the name column. It would be great if someone could help me out here.
my name is Samir MohammadAli Shaikh

first name------Samir
middle name---MohammadAli
family name----Shaikh

in my passport the column for family name has been left blank
and the given name column has been filled out as Samir MohammadAli Shaikh

so how do i enter it on the form?

 

[Sm1smom]

Although the instructions says to enter the names as shown on one's passport, in your particular case I would recommend listing them out appropriately as in separating and writing first name, middle name, and family name.