U.S.

Customs and
Border Protection

Official Trusted Traveler Program Website | Department of

Homeland Security
Application for: Global Entry

Version: Draft

Time of Printout: 2022-12-30 4:29 PM Eastern Standard Time

 Print

 Note: You cannot make changes to an application once it is submitted. If you find errors, the Officer at the
enrollment center will need to change your application for you.

 Please review each section, confirm your answers are correct, and then click Save & Continue to certify
and pay.

 1 Personal Info

Your Profile Info

Surname/last name: Balci-Sinha

Given/first name: Rana
Middle name:

Date of Birth: Jul 30, 1972

City of birth: Ankara
Country of birth: TURKEY
State/province of birth:

E-mail address: rbalci@gmail.com

Phone number 1:Mobile 1-2488404170
 2 Documents

Your Citizenship

 UNITED STATES

You've entered 1 document proving you're a citizen of UNITED STATES

Passport(UNITED STATES)

Surname/last name: Balci Sinha

Given name: Rana
Middle name:
Date of birth: Jul 30, 1972

Country of issuance: UNITED STATES

Passport number: 574367257
Date of issue (issuance date): Jun 26, 2017
Date of expiry (expiration date) Jun 25, 2027

You've entered 1 document proving you may enter the United States.

Passport(UNITED STATES)

Surname/last name: Balci Sinha

Given name: Rana
Middle name:
Date of birth: Jul 30, 1972

Country of issuance: UNITED STATES

Passport number: 574367257
Date of issue (issuance date): Jun 26, 2017
 Date of expiry (expiration date) Jun 25, 2027

Your Citizenship

TURKEY

You've entered 1 document proving you're a citizen of TURKEY

Citizenship Certificate

Surname/last name: Balci Sinha

Given name: Rana
Middle name:
Date of birth: Jun 30, 1972

Country of issuance: TURKEY

Citizenship Certificate number: 66382162712

 3 Driver's License

Driver's License

Do you currently hold a valid driver's license? Yes

Driver's license number: B-422-730-014-597
Country of issuance: UNITED STATES
State/province of issuance: MARYLAND
Expiration date Jul 30, 2029
 Is this an enhanced driver's license (EDL)? No
Is this a commercial driver's license (CDL)? No

Surname/last name: Balci-Sinha

Given/first name: Rana
Middle name:
Date of Birth: Jul 30, 1972

 4 Vehicle Info

You have not added a vehicle as part of your application.

 5 Address Info

You have provided the following addresses to meet the address history
requirement:

Current address: Jun 2018-Present

Country: UNITED STATES

Start date: Jun 2018

Address line 1: 14119 FOREST RIDGE DR
Address line 2:
City: NORTH POTOMAC
State/province/region: MARYLAND
Zip code/postal code: 208784823

Previous address: Mar 2017-Jun 2018

 Country: UNITED STATES

Start date: Mar 2017

End date: Jun 2018
Address line 1: 17800 Black Stallion Way
Address line 2:
City: Germantown

 6 Employment Info

You have provided the following employments to meet the employment history
requirement:

This is my current employment status.

Employment Status: Employed

What is your occupation?: Engineering Supervisor
When did it begin?: Dec 2008
Who is your employer?: US CPSC

What is your employer's phone number?

Phone number format: United States, Canada, +1
Phone number: 8006382772
Extension:

Where do you work?

Country: UNITED STATES
Address line 1: 5 RESEARCH PL
Address line 2:
City: ROCKVILLE
State/province/region: MARYLAND
Zip code/postal code: 208503213
 7 Travel History

Countries Visited

Have you traveled to countries other than the United States, Canada, and Mexico since December
2017?
Yes

Countries:

TURKEY
ITALY
SWITZERLAND

 8 Additional Info

Background Questions

Have you ever been convicted of a criminal offense in the United States or any other country?

No

Have you ever been arrested or had charges that were expunged or removed? If yes please
describe.

Have you ever received a waiver of inadmissibility to the U.S. from a U.S. government agency?

No

Have you ever been found in violation of customs laws?

No

Have you ever been found in violation of immigration laws?

No