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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
19H6W30029Z13J9S 08/22/2023
PAYMENT RECEIPT
Payment Date: November 2, 2021 [Link] PM
Payment Tracking Code: 26TSHVLN
Payment Received: $14.00
APPLICANT INFORMATION
Family Name First (Given) Name Gender
TROST HANSEN KURE NICOLLE Female
Date of Birth City of Birth Country of Birth
August 22, 2001 CALI COLOMBIA (COL)
Passport Number Country of Citizenship National Identification Number
212530433 DENMARK (DNK)
Issuance Date Issuing Country Personal Identification Number
July 14, 2021 DENMARK (DNK)
Expiration Date
August 22, 2023
OTHER CITIZENSHIP/NATIONALITY
Are you now, a citizen or national of any other country? Yes
Country of Citizenship / Nationality How did you acquire citizenship / nationality Other
COLOMBIA (COL) from this country?
By birth
Have you ever been a citizen or national of any other country? No
E-mail Address Confirm E-mail Address
NICOLLEHANSEN01@[Link] NICOLLEHANSEN01@[Link]
PERSONAL INFORMATION
Are you known by any other names or aliases? No
Have you ever been issued a passport or national identity card for travel by any other country? No
YOUR CONTACT INFORMATION
Address Line 1 Address Line 2 Apartment Number
VESTERBRO 91 4 LEFT
City State/Province/Region Country
AALBORG NORTH JUTLAND DENMARK (DNK)
Telephone Type Country Code Phone Number
Mobile DENMARK (DNK) (+45) 22233009
SOCIAL MEDIA
Provider / Platform Social Media Identifier
Facebook NICOLLE HANSEN
Provider / Platform Social Media Identifier
Instagram NICOLLEHANSENK
GE MEMBERSHIP
Are you a member of the CBP Global Entry Program? No
PARENTS
Family Name First (Given) Name
KURE MARIA ANDREA
Family Name First (Given) Name
TROST HANSEN ANDRES FREDDY
EMPLOYMENT INFORMATION
Do you have a current or previous employer? Yes
Job Title Employer Name
CLEANING PALMGREN ERHVERVSRENGORING
Address Line 1 Address Line 2
BRUNBJERGVEJ 4
City State/Province/Region Country
RISSKOV NORTH JUTLAND DENMARK (DNK)
Country Code Phone Number
TRAVEL INFORMATION
Is your travel to the US occurring in transit to
another country? No
U.S. Point of Contact Information
Name
MARTIN CARPENA
Address Line 1 Address Line 2 Apartment Number
809 WILSON STREET
City State/Province/Region
ANDERSON SOUTH CAROLINA
Country Code Phone Number
UNITED STATES (USA) (+1) 8649991903
Address While in the U.S.
Address Line 1 Address Line 2 Apartment Number
809 WILSON STREET
City State/Province/Region
ANDERSON SOUTH CAROLINA
EMERGENCY CONTACT INFORMATION IN OR OUT OF THE U.S.
Family Name First (Given) Name E-mail Address
TROST HANSEN ANDRES FREDDY GERENCIA@[Link]
Country Code Phone Number
COLOMBIA (COL) (+57) 3155058183
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 No
(communicable diseases are specified pursuant to section 361(b) of the Public Health Service Act):
Cholera
Diphtheria
Tuberculosis, infectious
Plague
Smallpox
Yellow Fever
Viral Hemorrhagic Fevers, including Ebola, Lassa, Marburg, Crimean-Congo
Severe acute respiratory illnesses capable of transmission to other persons and likely to cause mortality.
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 No
government authority?
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 No
States?
6) Are you currently seeking employment in the United States or were you previously employed in the United States without prior No
permission from the U.S. government?
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 No
to the United States or withdrawn your application for admission at a U.S. port of entry?
If yes:
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
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
Paperwork Reduction Act: An agency may not conduct or sponsor an information collection and a person is not required to respond to this information unless it displays a
current valid OMB control number and an expiration date. The control number for this collection is 1651-0111. The estimated average time to complete this application is
23 minutes. If you have any comments regarding this burden estimate you can write to U.S. Customs and Border Protection, Office of Regulations and Rulings, 90 K
Street, NE, 10th Floor, Washington DC 20229. Expiration November 30, 2021.
The ESTA logo is a registered trademark of the U.S. Department of Homeland Security. It's use, without permission, is unauthorized and in violation of trademark law. For
more information, or to request the use of the logo, please go to [Link] and submit a request by clicking on "Ask a Question." When selecting the Product (under
Additional Information) use "ESTA" and the sub-product "Logo Assistance" to expedite handling of your request.