United States of America Embassy Singapore
GLOBAL ENTRY INTERVIEW REQUEST FORM
1. Request Date (MM/DD/YYYY):
PLEASE COMPLETE FORM. FILL IN INFORMATION AND MARK “X” IN [
] WHERE APPROPRIATE. THANK YOU.
2. Interview Appointment Request:
Global Entry New Application [
Global Entry Record Updates [
3. Applicant Full Name (as in Passport):
4. Gender - Male (M)/ Female (F):
5. Currently residing in Singapore: [
6. Email address:
Mobile phone no.: +(65)-
7. Date of Birth (MM/DD/YYYY):
Age 18 years old and above: YES [
] or NO [
*If NO, provide a legal Guardian/ Parent’s name:
8. U.S. Citizen : [
] or U.S. Lawful Permanent Resident : [
9. Global Entry Membership No.
10. Global Entry Application ID
11. Date Conditionally Approved by GOES (MM/DD/YYYY) :
12. Provide a valid appointment scheduled on-line at any U.S. Enrollment Center.
12.1. State the U.S. Enrollment Center :
12.2. Scheduled Interview Date at the U.S.
Enrollment Center (MM/DD/YYYY) :
13. Remarks, if any (e.g. upcoming travel dates to U.S.):
Please submit request form to email address at