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ESTA - Electronic System for Travel Authorization | U.S. Department of Homeland Security

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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
H01F956492P04H3O	09/25/2025

PAYMENT RECEIPT

Payment Date:

September 25, 2023 6:27:40 AM

Payment Tracking Code:

277VVL3T

Payment Received:

$21.00

APPLICANT INFORMATION

Family Name
DILLON

First (Given) Name
JAMES PETER

Passport Number
143118855

Issuing Country
UK - BRITISH CITIZEN (GBR)

Issuance Date
September 18, 2023

Expiration Date
September 18, 2033

Country of Citizenship / Nationality
UK - BRITISH CITIZEN (GBR)

National Identification Number

Personal Identification Number

Sex
Male

Date of Birth
September 13, 1995

City of Birth
POOLE

Country of Birth
UNITED KINGDOM (GBR)

Other Citizenship/Nationality

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

Have you ever been a citizen or national of any other country? No

E-mail Address
JDILLON.95@HOTMAIL.CO.UK

Confirm E-mail Address
JDILLON.95@HOTMAIL.CO.UK

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

7 QUEENS ROAD

Address Line 2

CORFE MULLEN

Apartment Number

City

WIMBORNE

State/Province/Region

DORSET

Country

UNITED KINGDOM (GBR)

Telephone Type
Mobile

Country Code
UNITED KINGDOM (GBR) (+44)

Phone Number
7565448087

Social Media (Optional)

N/A

GE/NEXUS/SENTRI MEMBERSHIP

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

PARENTS

Family Name
DILLON

First (Given) Name
ADRIAN

Family Name
DILLON

First (Given) Name
JENNIFER

EMPLOYMENT INFORMATION

Do you have a current or previous employer? Yes

Job Title
STEWARD

Employer Name
CAERPHILLY COUNT BOROUGH

Address Line 1
9 CAERPHILLY ROAD

Address Line 2

City
YSTRAD MYNACH

State/Province/Region
HENGOED

Country
UNITED KINGDOM (GBR)

Country Code
UNITED KINGDOM (GBR) (+44)

Phone Number
1443864767

TRAVEL INFORMATION

Is your travel to the US occurring in transit to another country? No

U.S. Point of Contact Information

Name
SOUTHERN UTAH UNIVERSITY

Address Line 1
351 W UNIVERSITY BLVD

Address Line 2

Apartment Number

City
CEDAR CITY

State/Province/Region
UTAH

Country Code
UNITED STATES (USA) (+1)

Phone Number
4355867700

Address While in the U.S.

Address Line 1

Address Line 2

Apartment Number

City

State/Province/Region

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

Family Name
DILLON

First (Given) Name
JENNIFER

E-mail Address
DILLONJENNIFER200@GMAIL.COM

Country Code
UNITED KINGDOM (GBR) (+44)

Phone Number
7999500763

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):
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 government authority?

3) Have you ever violated any law related to possessing, using, or distributing illegal drugs?

4) Do you seek to engage in or have you ever engaged in terrorist activities, espionage, sabotage, or genocide?

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?

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?

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?

8) Have you ever stayed in the United States longer than the admission period granted to you by the U.S. government?

9) Have you traveled to, or been present in Cuba, Iran, Iraq, Libya, North Korea, Somalia, Sudan, 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 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.

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