---
type: travel-doc
category: travel
person: Yanxin Lu
date: 2024-09-08
source: lu_global_entry_application_2024.pdf
---

# Global Entry Application — Lu Yanxin

**Application for:** Global Entry
**Version:** Submitted
**Time of Printout:** 2024-09-08 9:04 PM Coordinated Universal Time

---

## 1. Personal Info

### Your Profile Info

| Field | Value |
|-------|-------|
| Surname/last name | Lu |
| Given/first name | Yanxin |
| Middle name | — |
| Date of Birth | Oct 17, 1989 |
| City of birth | Guiyang |
| Country of birth | CHINA |
| State/province of birth | Guizhou |
| E-mail address | acc.logingov@ylu17.com |
| Phone number 1 | Mobile 1-2542241457 |

### Identifying Characteristics

| Field | Value |
|-------|-------|
| Gender | Male |
| Eye color | Brown |
| Height | 5 ft 8 in |
| Have you used any other names before? | No |

---

## 2. Documents

### Your Citizenship: CHINA

**Passport (CHINA)**

| Field | Value |
|-------|-------|
| Surname/last name | Lu |
| Given name | Yanxin |
| Date of birth | Oct 17, 1989 |
| Country of issuance | CHINA |
| Passport number | E93603635 |
| Date of issue | Mar 28, 2017 |
| Date of expiry | Mar 27, 2027 |

**Permanent Resident Document / Permanent Resident Card**

| Field | Value |
|-------|-------|
| Surname/last name | Lu |
| Given name | Yanxin |
| Date of birth | Oct 17, 1989 |
| Country of issuance | UNITED STATES |
| Permanent Resident Card number / A number | 218056203 |
| Date of expiry | Aug 21, 2034 |

Documents proving entry to United States: Passport (CHINA) + Permanent Resident Card (listed above).

---

## 3. Driver's License

| Field | Value |
|-------|-------|
| Valid driver's license? | Yes |
| Driver's license number | Y5869348 |
| Country of issuance | UNITED STATES |
| State/province of issuance | CALIFORNIA |
| Expiration date | Oct 17, 2028 |
| Enhanced driver's license (EDL)? | No |
| Commercial driver's license (CDL)? | No |

---

## 4. Vehicle Info

No vehicle added as part of the application.

---

## 5. Address Info

### Current address: Jun 2023-Present

| Field | Value |
|-------|-------|
| Country | UNITED STATES |
| Start date | Jun 2023 |
| Address line 1 | 12421 SANFORD ST |
| City | LOS ANGELES |
| State/province/region | CALIFORNIA |
| Zip code/postal code | 900666954 |

### Previous address: Aug 2022-Jun 2023

| Field | Value |
|-------|-------|
| Country | UNITED STATES |
| Start date | Aug 2022 |
| End date | Jun 2023 |
| Address line 1 | 1130 South Michigan |
| Address line 2 | Apt. 1713 |
| City | Chicago |
| State/province/region | ILLINOIS |
| Zip code/postal code | 60605 |

### Previous address: Nov 2020-Jul 2022

| Field | Value |
|-------|-------|
| Country | UNITED STATES |
| Start date | Nov 2020 |
| End date | Jul 2022 |
| Address line 1 | 11950 Idaho Ave. |
| Address line 2 | Apt.113 |
| City | Los Angeles |
| State/province/region | CALIFORNIA |
| Zip code/postal code | 90025 |

### Previous address: Dec 2018-Oct 2020

| Field | Value |
|-------|-------|
| Country | UNITED STATES |
| Start date | Dec 2018 |
| End date | Oct 2020 |
| Address line 1 | 1000 Escalon Ave. |
| Address line 2 | Apt. K2087 |
| City | Sunnyvale |
| State/province/region | CALIFORNIA |
| Zip code/postal code | 94085 |

### Mailing Address

Is your mailing address the same as your current address? Yes

---

## 6. Employment Info

### Current Employment

| Field | Value |
|-------|-------|
| Employment Status | Employed |
| Occupation | Software Engineer |
| Start date | Jan 2019 |
| Employer | Meta Platforms. |
| Employer phone number | 1-8003675690 |
| Work address | 12105 WATERFRONT DR, LOS ANGELES, CALIFORNIA 900943070 |

---

## 7. Travel History

### Countries Visited (since September 2019)

- NETHERLANDS
- CHINA

---

## 8. Additional Info — Background Questions

| Question | Answer |
|----------|--------|
| Convicted of a criminal offense? | No |
| Arrested or had charges expunged/removed? | No |
| Received a waiver of inadmissibility? | No |
| Found in violation of customs laws? | No |
| Found in violation of immigration laws? | No |