Authorization Approved
Your travel authorization has been approved and you are authorized to travel to the United States under the Visa Waiver Program. This does not guarantee admission to the United States; a Customs and Border Protection (CBP) officer at a port of entry will have the final determination.
Application Number | Expiration Date |
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R793R979XRQK27CK | Oct 4, 2021 |
Payment Receipt
Payment Date | October 4, 2019 |
Payment Tracking Code | 26KKRBCS |
Payment Received | $14.00 |
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Applicant Information
Family Name | First (Given) Name |
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CHIEN | YI SEN |
Are you known by any other names or aliases? | No |
Date of Birth | Gender |
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Sep 15, 2008 | M (Male) |
City of Birth | Country of Birth |
TAIPEI CITY | TAIWAN (TWN) |
PARENTS
Family Name | First (Given) Name |
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CHIEN | CHENG-TAI |
Family Name | First (Given) Name |
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LIN | HSING-HUA |
Passport Information
Passport Number | Issuing Country |
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314413880 | TAIWAN (TWN) |
Issuance Date | Expiration Date |
Feb 2, 2017 | Feb 2, 2022 |
Issuing Country | National Identification Number |
TAIWAN (TWN) | A132245221 |
Personal Identification Number | A132245221 |
Have you ever been issued a passport or national identity card for travel by any other country? | No |
Other Citizenship/Nationality
Are you now, a citizen or national of any other country? | No |
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Have you ever been a citizen or national of any other country? | No |
GE MEMBERSHIP
Are you a member of the CBP Global Entry Program? | No |
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YOUR CONTACT INFORMATION
E-mail Address | |
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ethanyyii@gmail.com | |
Telephone Number | |
Telephone Type | Country Code + Phone / Number |
Mobile | TAIWAN (TWN) (+886) / 906877915 |
Home Address | |
Address Line 1 | Apartment Number |
NO. 18, LN. 256, XIANGNAN RD | |
Address Line 2 | City |
DONGSHAN TOWNSHIP | |
State/Province/Region | Country |
YILAN COUNTY | TAIWAN (TWN) |
Social Media (Optional)
Emergency Contact
Emergency Contact | |
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Family Name | First (Given) Name |
CHIEN | CHENG-TAI |
Telephone Number | |
Country Code + Phone | Number |
TAIWAN (TWN) (+886) | 927611419 |
E-mail Address | |
iphoneuse@gmail.com |
Travel Information
Is your travel to the US occurring in transit to another country? | No |
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Address While in the U.S. | |
Address Line 1 | Apartment Number |
Address Line 2 | City |
State | |
U.S. Point of Contact Information | |
HYATT PLACE LOS ANGELES/LAX/EL SEGUNDO | |
Address | |
Address Line 1 | Apartment Number |
750 N NASH ST | |
Address Line 2 | City |
EL SEGUNDO | |
State | |
CALIFORNIA | |
Telephone Number | |
Country Code + Phone | Number |
UNITED STATES (USA) (+1) | 3103222880 |
EMPLOYMENT INFORMATION
Do you have a current or previous employer? | No |
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ELIGIBILITY QUESTIONS
1) Do you have a physical or mental disorder; or are you a drug abuser or addict; or do you currently have any of the following diseases (communicable diseases are specified pursuant to section 361(b) of the Public Health Service Act):
| No |
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2) Have you ever been arrested or convicted for a crime that resulted in serious damage to property, or serious harm to another person or government authority? | No |
3) Have you ever violated any law related to possessing, using, or distributing illegal drugs? | No |
4) Do you seek to engage in or have you ever engaged in terrorist activities, espionage, sabotage, or genocide? | No |
5) Have you ever committed fraud or misrepresented yourself or others to obtain, or assist others to obtain, a visa or entry into the United States? | No |
6) Are you currently seeking employment in the United States or were you previously employed in the United States without prior permission from the U.S. government? | No |
7) Have you ever been denied a U.S. visa you applied for with your current or previous passport, or have you ever been refused admission to the United States or withdrawn your application for admission at a U.S. port of entry? | No |
If yes: | |
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when | |
where |
8) Have you ever stayed in the United States longer than the admission period granted to you by the U.S. government? | No |
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9) Have you traveled to, or been present in Iran, Iraq, Libya, North Korea, Somalia, Sudan, Syria or Yemen on or after March 1, 2011? | No |