Form I-192 e-SAFE

Application for Advance Permission to Enter as a Nonimmigrant (Pursuant to Section 212(d)(3)(A)(ii) of the INA, Section 212(d)(13) of the INA, or Section 212(d)(14) of the INA)

E-Safe Screenshots_Updated CBP

I-192, CBP e-SAFE Filings

OMB: 1615-0017

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1615-0017 can be found here:

2025-02-19 - No material or nonsubstantive change to a currently approved collection
2024-02-08 - Revision of a currently approved collection

Document [pdf]

Download: pdf | pdf

E-SAFE SCREENSHOTS
08/23/2023

APPLICATION TYPE:

INFORMATION ABOUT YOU:

ADDRESS and ADDRESS HISTORY:

MAILING ADDRESS

ADDRESS HISTORY:

MARITAL INFORMATION:

MARITAL STATUS:

MARITAL HISTORY SAVED:

IMMIGRATION and TRAVEL:

IMMIGRATION AND CRIMINAL HISTORY

IMMIGRATION and CRIMINAL HISTORY CONTINUED

TRAVEL INFORMATION:

EMPLOYMENT INFORMATION

EMPLOYMENT HISTORY:

APPLICANT STATEMENT:

INTERPRETER’S STATEMENT

PREPARER’S STATEMENT

UPLOAD DOCUMENTS:

APPLICANT CONSENT:

File Type	application/pdf
Author	LEWIS, CHRISTOPHER C ( CTR )
File Modified	2023-08-24
File Created	2023-08-24