United States Of America Embassy Singapore - Global Entry Interview Request Form printable pdf download

United States Of America Embassy Singapore - Global Entry Interview Request Form

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

(9 digits):

(7 digits):

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

globalentrysingapore@state.gov

United States Of America Embassy Singapore - Global Entry Interview Request Form