You are: *

PERSONAL INFORMATION

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Gender *

CONTACT INFORMATION

ADDITIONAL INFORMATION

Have you ever used a maiden/previous name? *

Maiden/Previous Name

Have you ever used an alias? *

Alias

Is your mailing address the same as your residential address? *

Mailing Address

Have you lived at your current residential address for more than five (5) years? *

Current address

Previous address

ADDITIONAL INFORMATION

Note: If you answer 'Yes' to question 2, 3, 4 or 6 you may want to reconsider applying. If you answer 'Yes' to question 5, because you are currently under indictment or have open criminal charges, you should consider waiting to apply until these matters are resolved.
1. Are you a U.S. citizen, U.S. National or Lawful Permanent Resident (LPR)? *
2. Excluding juvenile cases unless convicted as an adult, have you been convicted, pled guilty including “no contest” (nolo contendere), or found not guilty by reason of insanity, of any disqualifying felony listed in TSA Eligibility Requirements, Part A, in any jurisdiction, military or civilian? *
3. Excluding juvenile cases unless convicted as an adult, have you been convicted, pled guilty including “no contest” (nolo contendere), or found not guilty by reason of insanity, of any disqualifying felony listed in TSA Eligibility Requirements, Part B, in any jurisdiction, military or civilian, during the 7 years before the date of this application? *
4. Have you been released from incarceration in any jurisdiction, military or civilian, for committing any disqualifying felony listed in TSA Eligibility Requirements, Part B, during the 5 years before the date of this application? *
5. Are you wanted or under indictment for any disqualifying crime listed in TSA Eligibility Requirements, Parts A or B? *
6. Have you ever been found by a court or other lawful authority as lacking mental capacity or involuntarily committed to a mental institution? *
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DOCUMENTS

IF YOU APPLY WITH PASSPORT BOOK OR CARD EXPIRED WITHIN 12 MONTHS OR BIRTH CERTIFICATE PLEASE PROVIDE ADDITIONAL DOCUMENT.
Does the name entered during pre-enrollment match the name on your photo ID and citizenship status document? *

GOVERNMENT FEE PAYMENT

Your card details are needed to pay the additional $85 for background and security checks. Your application will not be processed without this.
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CONFIRMATION

I CONFIRM THAT THE INFORMATION PROVIDED ON THIS FORM IS CORRECT AND ACCURATE TO THE BEST OF MY KNOWLEDGE. By signing below and paying the service fee I agree and understand gobal-entry.app's Terms of Use and Refund Policy described on their website: global-entry.app *
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