Global Entry Renewal Application Form - ??EMPLOYMENT HISTORY FOR THE LAST 5 YEARS EMPLOYED SELF EMPLOYED UNEMPLOYED RETIRED STUDENT CHILD PHONE# ... Global Entry Renewal Application

  • View
    213

  • Download
    1

Embed Size (px)

Text of Global Entry Renewal Application Form - ??EMPLOYMENT HISTORY FOR THE LAST 5 YEARS EMPLOYED SELF...

  • NEXUS RENEWAL APPLICATION

    INSTRUCTION

    Read the following instructions before you start:

    1. Download and save the application form on your computer.

    2. Complete one application form per person. Fill out all the information that applys for you. Do not leave anygaps ( incl. unemployemnt or student).

    4. Choose TrustedTravel Service and pay the fee via:

    5. Send your complete application pack using one of the following methods:

    e-mail adress: service@trustedtravelprograms.com

    fax: (202) 688-5140

    3. Make clear copies of your identity and citizenship documents. ( driver licence, passport, PR card)

    4. You will receive an email at your email address informing you if you are eligible for NEXUS. If your statusis Approved you can schedule your interview.

    PayPal- $95.99G2S - $95.99

    NOTE: We do not accept postal applications

    WHAT HAPPENS NEXT?

    1. TrustedTravel carefully check your application form, email you regarding any omissions and submit yourinformation to the US & Canadian Border Authorities.

    2. TrustedTravel pay the $50 government fee using the credit card provided by you.

    5. You attend an interview, where your original documentation is checked and biometric data is collected.The interviewing officer informs you if you are admitted to the NEXUS program.

    6. You will receive your NEXUS card by mail from CBP headquarters.

    3. TrustedTravel send you access details for your profile on the Trusted Traveler database.

    Signature

    NOTE: We cannot use your credit card to pay for the TrustedTravel service fee.

    TERMS OF USE

    Check this box to agree to TrustedTravel terms & conditions

    TrustedTravel is not a government agency and cannot influence the outcome of your NEXUS application.

    Transaction e-mail

    2. TrustedTravel is not responsible for applicants who are denied from the program for any reason

    3. TrustedTravel does not give refunds for applications submitted in error.

    4. TrustedTravel has the right to contact applicants for additional information

    1. TrustedTravel is not responsible for any delays in the submission caused by incomplete information.

    By submitting the application pack and paying the service fee, each applicant agrees to the terms and conditions

    Read our website Terms & Conditions before submitting your application and paying our fees

    5. TrustedTravel has the right to change the terms and conditions without any notice.

    Email: service@trustedtravelprograms.com; Fax: (202) 688-5140

  • FEMALEMALE

    PERSONAL INFORMATION

    HEIGHT

    D.O.B (YY/MM/DD)

    MIDDLE NAMESURNAME

    EYE COLOR

    FIRST NAME

    CITY OF BIRTH

    BIRTH COUNTRY BIRTH STATE

    OTHER NAME (first/ middle)

    OTHER NAME (last/ middle)

    CITIZENSHIP & NATIONALITY

    US CITIZEN PERMANENT RESIDENTCANADIAN CITIZEN MEXICAN CITIZEN OTHER

    ATTACH CLEAR SCANNED COPIES OF YOUR DOCUMENTSTO YOUR APPLICATION

    PR CARD #

    PASSPORT #

    VISA #

    EXPIRY

    NAME ON PASSPORT / PR CARD

    TYPE

    (YY/MM/DD)

    EXPIRY(YY/MM/DD)

    EXPIRY(YY/MM/DD)

    EXPIRY(YY/MM/DD)

    COUNTRY

    COUNTRY

    COUNTRY

    CONTACT DETAILS

    HOME PHONE OR CELL #

    EMAIL ADDRESS

    List a contact information that will be cheched regularly for status updates. List ONLY 1 email.

    DRIVERS LICENCE INFORMATION

    NAME ON LICENCE

    DRIVERS LICENCE NUMBER

    Email: service@trustedtravelprograms.com; Fax: (202) 688-5140

    MAKE

    VEHICLE INFORMATION

    MODEL YEAR

    VIN NUMBER LICENCE PLATE

    STATE WHERE LICENCE PLATE WAS ISSUED OWNER

    OWNER ADDRESS

    OWNER PHONE OWNER D.O.B

    GOES ID PASSWORD EXPIRY DATE

    NEXUS Renewal APPLICATION

  • ADDRESS HISTORY FOR THE LAST FIVE YEARS

    Email: service@trustedtravelprograms.com; Fax: (202) 688-5140

    Address

    Address

    City State Zip Code

    Is this your mailing address?

    FROM (YYYY/MM)

    Address

    Address

    City State Zip Code FROM (YYYY/MM)

    Address

    Address

    CityState Zip Code

    CURRENT ADDRESS

    MAILING ADDRESS IF DIFFERENT TO YOUR CURRENT ADDRESS

    ADDRESS HISTORY FOR THE LAST 5 YEARS

    TO FROM (YYYY/MM) (YYYY/MM)

    Address

    Address

    CityState Zip Code

    TO FROM (YYYY/MM) (YYYY/MM)

    Address

    Address

    CityState Zip Code

    TO FROM (YYYY/MM) (YYYY/MM)

    Address

    Address

    CityState Zip Code

    TO FROM (YYYY/MM) (YYYY/MM)

    NEXUS Renewal APPLICATION

  • Email: service@trustedtravelprograms.com; Fax: (202) 688-5140

    EMPLOYEMENT HISTORY FOR THE LAST FIVE YEARS

    CURRENT EMPLOYEMENT STATUS

    EMPLOYED UNEMPLOYEDSELF EMPLOYED CHILDRETIRED STUDENT

    PHONE#

    JOB TITLE:

    Employer

    Address

    City State Zip Code

    TO FROM (YYYY/MM) (YYYY/MM)

    IF YOU ARE A STUDENT,CHILD, UNEMPLOYED OR RETIRED PLEASE CHECK THE RELEVANT BOX. YOU DO NOT HAVE TO FILL OUT MORE DETAILS OTHER THAN THE FROM AND TO DATES.

    EMPLOYMENT HISTORY FOR THE LAST 5 YEARS

    EMPLOYED UNEMPLOYEDSELF EMPLOYED CHILDRETIRED STUDENT

    PHONE#

    JOB TITLE:Employer

    Address City State

    TO FROM (YYYY/MM) (YYYY/MM)

    EMPLOYED UNEMPLOYEDSELF EMPLOYED CHILDRETIRED STUDENT

    PHONE#

    JOB TITLE:Employer

    Address City State

    TO FROM (YYYY/MM) (YYYY/MM)

    EMPLOYED UNEMPLOYEDSELF EMPLOYED CHILDRETIRED STUDENT

    PHONE#

    JOB TITLE:Employer

    Address City State

    TO FROM (YYYY/MM) (YYYY/MM)

    EMPLOYED UNEMPLOYEDSELF EMPLOYED CHILDRETIRED STUDENT

    PHONE#

    JOB TITLE:Employer

    Address City State

    TO FROM (YYYY/MM) (YYYY/MM)

    NEXUS Renewal APPLICATION

  • PHONE #

    City State Zip CodeAddress

    U.S. CONTACT:

    FULL NAME:

    AS OF DATE yyyy/mm:

    MEXICAN CITIZENS MUST PROVIDE ALSO:

    PARENT / GUARDIAN DETAILS FOR CHILD APPLICANTS (under 18 years of age)

    Parent or Guardian Name

    Address

    City State Zip Code

    Phone #

    Date of Birth (yyyy/mm/dd)

    Relationship to the applicant

    Email: service@trustedtravelprograms.com; Fax: (202) 688-5140

    TRAVEL HISTORY FOR THE LAST FIVE YEARS

    List the countries you have traveled to; other than the United States, Canada, and Mexico within the past 5 years

    ADDITIONAL INFORMATION

    Have you ever been convicted of an criminal offense in the U.S. or any other country?

    NO YES

    NO YES

    NO YES

    NO YES

    Have you ever received a waiver of inadmissibility to the U.S from a U.S government agency?

    Have you ever been approved for rehabilitation because of past criminal activity/violation?

    Have you ever been found in violation of customs or immigration laws ?

    NEXUS Renewal APPLICATION

  • FEE PAYMENT

    Your credit card details are required for the certification of your application with US Customs and Border Protection (CBP).

    The government Fee is USD $50. TrustedTravel Service fee is payable via G2S or PayPal.

    ALL CREDIT CARD INFORMATION IS DESTROYED ONCE GOVERNMENT FEES ARE PAID

    EXPIRY

    CVV CODE IS THE 3/4 DIGIT NUMBER PRINTED ON THE BACK OF YOUR CREDIT/DEBIT CARD

    CVV CODECREDIT CARD #

    NAME ON CARD

    CERTIFICATION

    I certify that all information given by me on this application form was provided voluntarily and is true and complete. I understand that all the information on this application, including the supporting documentation, background information and biometric data will be shared among customs and immigration authorities in both Canada and the US, and among law enforcement and other government agencies with applicable laws. I certify that I have read, understood and agree to all terms and conditions required for use of the NEXUS program, including all instructions and notices.

    Signature PRINT NAME DATE

    NOTE!WRITE CLEARLY AND LEGIBLY. WE CANNOT PROCESS YOUR APPLICATION IF WE DO NOT HAVE A FULL FIVE YEARS ADDRESS AND WORK HISTORY.

    Your application MUST signed terms & conditions, which makes up the first and last pagesof the NEXUS application form .

    Check Box to confirm that you have paid TrustedTravel Service fees via G2S

    Check this box to agree to TrustedTravel terms & conditions

    By submitting the application pack and paying the service fee, each applicant agrees to the terms and conditions

    Email: service@trustedtravelprograms.com; Fax: (202) 688-5140

    NEXUS Renewal APPLICATION

    or PayPal

    Check Box1: Check Box2: Check Box3: Check Box4: Check Box5: Check Box6: Check Box7: Check Box8: Check Box9: Check Box10: Check Box11: Check Box12: Check Box13: Check Box14: Check Box15: Check Box16: Check Box17: Check Box18: Check Box19: Check Box20: Check Box21: Check Box22: Check Box23: Check Box24: Check Box25: Check Box26: Check Box27: Check Box28: Check Box29: Check Box30: Check Box31: Check Box32: Check Box33: Check Box34: Check Box35: Check Box36: Check Box37: Check Box38: Check Box39: Check Box40: Check Box41: Check Box42: Check Box43: Check Box44: Check Box45: Check Box46: Check Box47: Check Box48: Check Box49: Check Box50: Text51: Text52: Text53: Text54: Text55: Text56: Text57: Text58: Text59: Text60: Text61: Text62: Text63: Text64: Text65: Text66: Text67: Text69: Text70: Text71: Text72: Text73: Text74: Text75: Text76: Text77: Text79: Text80: Text81: Text82: Text83: Text84: Text85: Text86: Text87: Text88: Text89: Text90: Text91: Text92: Text93: Text94: Text95: Text96: Text97: Text98: Text99: Text100: Text101: Text102: Text103: Text107: Text108: Text109: Text110: Text111: