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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)

  • 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