type, category, person, date, source
type
category
person
date
source
travel-doc
travel
Yanxin Lu
2024-09-08
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)
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