Smart Traveler Enrollment Program
“Stay Informed, Stay Connected, Stay Safe!”
For a nominal fee Generations Visa Service will register you and your travel details with the
nearest U.S. Embassy or Consulate in the countries you are visiting. This registration allows
the US government to efficiently safeguard its citizens while overseas.
Benefits of Enrolling in Smart Traveler Enrollment Program:
Receive important information from the Embassy about up-to-the-minute safety conditions in
your destination country, helping you make informed decisions about your travel plans.
Help the U.S. Embassy contact you in an emergency, whether natural disaster, civil unrest, or
family emergency.
Help family and friends get in touch with you in the case of an emergency.
Personal Information
Traveler #1’s full name (LAST, First, Middle):
Traveler #2’s Full name (LAST, First, Middle):
Date of Birth (MM/DD/YYYY):
/
/
Date of Birth (MM/DD/YYYY):
/
/
Passport Number:
Passport Number:
Date of Issue (MM/DD/YYYY):
/
/
Date of Issue (MM/DD/YYYY):
/
/
Expiration Date (MM/DD/YYYY):
/
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Expiration Date (MM/DD/YYYY):
/
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Email Address*:
Email Address*:
Emergency Phone (contact in the US):
Emergency Phone (contact in the US):
*Email addresses will not be used for solicitation purposes
Travel Information
Country #1:
Country #2 (if applicable):
Approx. Date of Entry (
MM/DD/YYYY
):
/
/
Approx. Date of Entry (
MM/DD/YYYY
):
/
/
MM/DD/YYYY
MM/DD/YYYY
Approx. Date of Exit (
):
/
/
Approx. Date of Exit (
):
/
/
Name of the first hotel:
Name of the first hotel:
Yes, please enroll me in Smart Traveler Program. I have added an additional $12.50 per person for this service.
No, I decline the optional Smart Traveler Program enrollment service.
Credit Card Number: _____________________________________
Security Code: ______________
Expiry Date (mm/yyyy): ______________
Signature: ________________________________________
Please note: If you receive an email confirmation from the Department of State titled “Smart Traveler
Enrollment Program Invitation,” one of our agents has enrolled you with the information provided. No
further action is necessary on your part.