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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

10R6P1J56M814271 11/27/2025

PAYMENT RECEIPT
Payment Date: November 27, 2023 1:58:52 PM
Payment Tracking Code: 279LSPG9
Payment Received: $21.00

APPLICANT INFORMATION

Family Name First (Given) Name Passport Number

RUCK CHARLIE JOHN 127510791

Issuing Country Issuance Date Expiration Date

UK - BRITISH CITIZEN (GBR) October 27, 2021 October 27, 2031

Country of Citizenship / Nationality National Identification Number Personal Identification Number

UK - BRITISH CITIZEN (GBR)

Sex Date of Birth City of Birth

Male December 22, 1994 CHELMSFORD

Country of Birth
UNITED KINGDOM (GBR)

OTHER CITIZENSHIP/NATIONALITY

Are you now, a citizen or national of any other country? No

Privacy - Terms
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

FLAT 11 ST RAPHAELS PLACE

City State/Province/Region Country

BRENTWOOD ESSEX UNITED KINGDOM (GBR)

Telephone Type Country Code Phone Number

Mobile UNITED KINGDOM (GBR) (+44) 7525462993

SOCIAL MEDIA (OPTIONAL)

Provider / Platform Social Media Identifier

LinkedIn HTTPS://WWW.LINKEDIN.COM
/IN/CHARLIE-RUCK/

GE/NEXUS/SENTRI MEMBERSHIP

Are you a member of the CBP Global Entry/NEXUS/SENTRI Program? No

PARENTS
Family Name First (Given) Name
RUCK KIM

Family Name First (Given) Name

RUCK JOHN

EMPLOYMENT INFORMATION

Do you have a current or previous employer? Yes

Job Title Employer Name

PRINCIPAL TRUE SEARCH

Address Line 1 Address Line 2

247 HIGH HOLBORN, MIDCITY
PLACE

City State/Province/Region Country

LONDON LONDON UNITED KINGDOM (GBR)

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
HOTEL SPERO

Address Line 1 Address Line 2 Apartment Number

405 TAYLOR STREET
City State/Province/Region
SAN FRANCISCO CALIFORNIA

Country Code Phone Number

UNITED STATES (USA) (+1) 4158852500

Address While in the U.S.

Address Line 1 Address Line 2 Apartment Number

405 TAYLOR STREET

City State/Province/Region
SAN FRANCISCO CALIFORNIA

EMERGENCY CONTACT INFORMATION IN OR OUT OF THE U.S.

Family Name First (Given) Name E-mail Address

RUCK KIM [email protected]

Country Code Phone Number

UNITED KINGDOM (GBR) (+44) 7540890100

ELIGIBILITY QUESTIONS

1) Do you have a physical or mental disorder; or are you a drug abuser or addict; or do you No
currently have any of the following diseases (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 No
property, or serious harm to another person or 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, No
or genocide?

5) Have you ever committed fraud or misrepresented yourself or others to obtain, or assist No
others to obtain, a visa or entry into the United States?

6) Are you currently seeking employment in the United States or were you previously employed No
in the United States without prior 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, No
or have you ever been refused admission to the United States or withdrawn your application for
admission at a U.S. port of entry?

8) Have you ever stayed in the United States longer than the admission period granted to you by No
the U.S. government?

9) Have you traveled to, or been present in Cuba, Iran, Iraq, Libya, North Korea, Somalia, Sudan, No
Syria or Yemen on or after March 1, 2011?

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 May 31, 2026.

The ESTA logo is a registered trademark of the U.S. Department of Homeland Security. Its 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 (http://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.