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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 NumberExpiration Date
2R1W4M6Y9M60H45209/15/2024

PAYMENT RECEIPT

Payment Date:
September 15, 2022 5:54:38 PM
Payment Tracking Code:
271MBAJN
Payment Received:
$21.00

APPLICANT INFORMATION

Family Name
GAGLIARDI
First (Given) Name
MAURO FRANCESCO
Passport Number
YB0188612
Issuing Country
ITALY (ITA)
Issuance Date
September 30, 2016
Expiration Date
September 29, 2026
Country of Citizenship
ITALY (ITA)
National Identification Number
Personal Identification Number
Sex
Male
Date of Birth
January 31, 1969
City of Birth
MILANO
Country of Birth
ITALY (ITA)

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
MAUROF.GAGLIARDI@GMAIL.COM
Confirm E-mail Address
MAUROF.GAGLIARDI@GMAIL.COM

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

VIA RESIDENZA FONTANA, SNC

Address Line 2

PIANO 2

Apartment Number

821

City

SEGRATE

State/Province/Region

MILANO

Country

ITALY (ITA)

Telephone Type
Mobile
Country Code
ITALY (ITA) (+39)
Phone Number
3398100631

Social Media (Optional)

I do not have an online presence.

GE MEMBERSHIP

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

PARENTS

Family Name
GAGLIARDI
First (Given) Name
GIANFRANCO
Family Name
ZANON
First (Given) Name
MILENA VALENTINA AGATA

EMPLOYMENT INFORMATION

Do you have a current or previous employer?   Yes
Job Title
ACQUISITION COORDINATOR
Employer Name
R.T.I. S.P.A.
Address Line 1
VIALE EUROPA 48
Address Line 2
City
COLOGNO MONZESE
State/Province/Region
MILANO
Country
ITALY (ITA)
Country Code
ITALY (ITA) (+39)
Phone Number
0225148829

TRAVEL INFORMATION

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

U.S. Point of Contact Information

Name
OCEAN VIEW HOTEL
Address Line 1
1447 OCEAN AVENUE
Address Line 2
Apartment Number
City
SANTA MONICA
State/Province/Region
CALIFORNIA
Country Code
UNITED STATES (USA) (+1)
Phone Number
3104584888

Address While in the U.S.

Address Line 1
1447 OCEAN AVENUE
Address Line 2
Apartment Number
City
SANTA MONICA
State/Province/Region
CALIFORNIA

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

Family Name
MOLLICHELLI
First (Given) Name
NADIA
E-mail Address
NADIA.MOLLICHELLI@GMAIL.COM
Country Code
ITALY (ITA) (+39)
Phone Number
3291551081

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.
No
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?
No
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 States?
No
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?
No
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?
No

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