Official Website of the Department of Homeland Security

Download  Print  Close 

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 12:13:14 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

[email protected] [email protected]

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 [email protected]

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 help.cbp.gov 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.