### U.S. Customs and Border Protection U.S. Department of Homeland Security

| 08/19/2019 09:26 EDT    |                | Generated By:       |  | Page 1 of 1     |  |
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| Passenger Information   |                |                     |  |                 |  |
|                         |                |                     |  |                 |  |
|                         |                |                     |  |                 |  |
|                         |                |                     |  |                 |  |
|                         |                |                     |  |                 |  |
|                         |                |                     |  |                 |  |
| Last Name               | First Name     | DOB                 |  | Gender          |  |
|                         |                |                     |  | M - Male        |  |
| US Passport Information |                |                     |  |                 |  |
| Passport #              |                | Passport Status     |  | Document Type   |  |
|                         |                | I - ISSUED          |  | P - PASSPORT    |  |
| Issue Country           | Issue Date     |                     |  | Expiration Date |  |
| USA - UNITED STATES     |                |                     |  |                 |  |
| Personal Information    |                |                     |  |                 |  |
| Last Name               | First Name     |                     |  | DOB             |  |
|                         |                |                     |  |                 |  |
| Gender                  | Place of Birth |                     |  |                 |  |
| M - Male                |                | USA - UNITED STATES |  |                 |  |