Global Entry Pro Assist

Global Entry Apply Form

Fields with a red * are required.

LOGIN.GOV Account

Have you created a LOGIN.GOV Account*

NoYes

Personal Details

You must give EXACT details as they appear on your official documents

Email*

Your First Name *

Your Last Name *

Middle Names

Any Other Names You Have Previously Been Known By

Your Gender *

Phone Number *

Height *

Height in centimeters

Optional

Eye Colour *

Your Birth Date *

Your City of Birth *

Your State / Province of Birth *

Your Country of Birth *

Citizenship & Nationality

Enter the information EXACTLY as it appears on your Passport. If you are required to come in for an interview, you will need to bring this document with you.

Primary Citizenship*

Primary Passport Number*

Passport Expiry Date*

Passport Date of Issue*

Exact Name on Primary Passport*

Secondary Citizenship

You must give EXACT details as they appear on your official documents

Secondary Citizenship

Secondary Passport Number

Secondary Expiry Date

Secondary Date of Issue

Exact Name on Secondary Passport

Alternate Documents

Only required when there is no valid passport

Citizenship Certificate Number

Country of Issue

Exact Name on Citizenship Certificate

Alternate Issue Date

Birth Certificate Number

Exact Name on Birth Certificate

Canada/US Permanent Residence

Details Must be added if you are not a US/Canada Citizen

Permanent Resident

PR Card Number Should be 9 digits (USCIS Number)

PR Country of Issue

Exact Name on PR Card

Does your Permanent Resident Card have a machine readable zone ?

PR Expiry Date

Driving Licence

Do you have a driving licence *

NoYes

Address History

Only if you have not lived at your current address for more than 5 years. You have to provide 5 years continuous address history - your application cannot be processed without this

Have you lived at your Residential Address for 5 years or more?*

YesNo

Current When did you start living here*

Current Address *

Current Address Line 2

Current City *

Current State/Province/Region *

Current Zip/Postal Code*

Current Country *

Mailing Address

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

Country

US Contact Address

If your current address is not in the US

Since when have you used this contact address

US Contact Name

First Name

Last Name

US Contact Phone Number

Contact Address

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

Country

Information About Your Current Work

You MUST provide 5 years work history. Your application can not be processed without it. If you are a Student, Child, Unemployed or Retired you only have to check box and provide dates of unemployment or date of Retirement. There can be no gaps or omissions.

Has your employment status been the same for 5 years or more *

YesNo

From *

Employment Status *

Occupation

Employer Name

Employer Phone Number *

Employer Address

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

Country

Travel History

List all the countries visited in last 5 years excluding Mexico, USA & Canada

Additional Information

Have you ever been convicted of a criminal offense (including misdemeanor or felony traffic violations) in the united States or any other country. Please Indicate the country where the incident(s) occurred (Even if you've had only an arrest or had an incident that was expunged/removed from your record, please provide the details (optional))? *
YesNo
Indicate whether or not the applicant has ever been convicted of a criminal offense (other than a traffic violation) in any country
Have you ever received a waiver of inadmissibility to the USA from a US government agency?*
YesNo
A waiver of inadmissibility is an application for entry into the United States from someone who is otherwise inadmissible for one or more reasons, such as on health or legal grounds
Have you ever been approved by Citizenship and Immigration Canada for rehabilitation because of past criminal activity?*
YesNo
Have you ever been found in violation of Customs or Immigration laws or other federal import laws?*
YesNo
A customs violation could be failing to declare goods or merchandise or bringing in prohibited goods etc, an immigration violation could be any immigration document issues, refusal into the USA, Not all violations are disqualifying, but should be noted

Certification Disclaimer

You will be charged the following fees when you apply for your GLOBAL ENTRY application with Global Entry Pro Assis:

The Global Entry Pro Assis fee of USD $149.00 (for checking, processing, answering all your questions) via PayPal.

In addition to the Global Entry Pro Assis fee the following government fees are payable by you after we have completed your application. You will be provided your login details an in order for you to finalize your application.

United States Customs and Border Protection (CBP) government certification fee $100 USD for Global Entry.

By Clicking "I Certify & Agree" below, you confirm that you understand that you are using a third party application processing service to file your application with the government. Global Entry Pro Assis are not affiliated with any government body. We offer paid assistance with services offered by the government. We cannot expedite your application. I agree to the starting of the service and I acknowledge that I lose my right to cancel once the service has been fully performed.

You also confirm that the information contained in this form was given voluntarily and is true, complete and correct and that you understand that this information will be shared with law enforcement agencies, border protection agencies, government immigration agencies and other government bodies with applicable laws. Your information will be used for the sole purpose of processing your GLOBAL ENTRY application.

I certify and agree that I have understood the Certification Disclaimer *

Yes

Card details for payment of Government fee

Last four card digits *

Expiry Date *

Card Type *

Card Holder Name & Address Details

Card Holders First Name *

Card Holders Last Name *

Card Holders Address *

Card Holders Address Line 2

Card Holders City *

Card Holders State/Province/Region *

Card Holders Zip/Postal Code *

Card Holders Country *

Global Entry Enrollment Centers

Select Enrollment Center *

Global Entry Apply Form

LOGIN.GOV Account

Personal Details

Citizenship & Nationality

Secondary Citizenship

Alternate Documents

Canada/US Permanent Residence

Driving Licence

Address History

US Contact Address

Information About Your Current Work

Travel History

A

B

C

D

E

F

G

H

I

J

K

L

M

N

O

P

Q

R

S

T

U

V

W

Y

Z

Other:

Additional Information

Certification Disclaimer

You will be charged the following fees when you apply for your GLOBAL ENTRY application with Global Entry Pro Assis:

The Global Entry Pro Assis fee of USD $149.00 (for checking, processing, answering all your questions) via PayPal.

In addition to the Global Entry Pro Assis fee the following government fees are payable by you after we have completed your application. You will be provided your login details an in order for you to finalize your application.

United States Customs and Border Protection (CBP) government certification fee $100 USD for Global Entry.

Card details for payment of Government fee

Card Holder Name & Address Details

Global Entry Enrollment Centers

USA

CANADA

MEXICO