All questions must be answered in English using English-language characters only, except when you are asked to provide your full name in your native alphabet.
Applicant's Basic Information
Do you have any other names or name aliases? *
Gender *
If you can't find this listed on your passport, you may enter the name of the city/town/village where you were born.
Are you a member of the CBP Global Entry Program? *
Passport Information
Issuance Country must match Country of Citizenship
Upload a picture of your passport page that shows your photo, information about you, and the machine readable section as shown in the image below.
Other Citizenship and Travel Documents
Are you now, a citizen or national of any other country? *
Have you ever been a citizen or national of any other country in the past? *
Have you ever been issued a passport or national identity card for travel by any other country? *
Applicant's Address
Parents Information
If you do not enter one or both parents, UNKNOWN will be used in the application.
Employment Information
Do you have a current or previous employer? *
Travel Information
Is your travel to the US occurring in transit to another country? *
Eligibility Information
Do you have a physical or mental disorder; or are you a drug abuser or addict; or do you currently have any of the following diseases (communicable diseases are specified pursuant to section 361(b) of the Public Health Service Act): *
  • Cholera
  • Diphtheria
  • Tuberculosis, infectious
  • Plague
  • Smallpox
  • Yellow Fever
  • Viral Hemorrhagic Fevers, including Ebola, Lassa, Marburg, Crimean-Congo
  • Severe acute respiratory illnesses capable of transmission to other persons and likely to cause mortality
Have you ever been arrested or convicted for a crime that resulted in serious damage to property, or serious harm to another person or government authority? *
Have you ever violated any law related to possessing, using, or distributing illegal drugs? *
Do you seek to engage in or have you ever engaged in terrorist activities, espionage, sabotage, or genocide? *
Have you ever committed fraud or misrepresented yourself or others to obtain, or assist others to obtain, a visa or entry into the United States? *
Are you currently seeking employment in the United States or were you previously employed in the United States without prior permission from the U.S. government? *
Have you ever been denied a U.S. visa you applied for with your current or previous passport, or have you ever been refused admission to the United States or withdrawn your application for admission at a U.S. port of entry? *
Have you ever stayed in the United States longer than the admission period granted to you by the U.S. government? *
Have you traveled to or been present in Cuba, Iran, Iraq, Libya, North Korea, Somalia, Sudan, Syria, or Yemen on or after March 1, 2011? *
Contact Information
Agreement