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ENTER APPLICANT INFORMATION

The following information is required of every non-immigrant visitor not in possession of a visitor's visa who is a national of one of the countries [1] listed in 8 CFR 217.2. Please enter all information requested. Each member of your traveling party must complete a separate application.

Please provide all responses in English.
Required fields are indicated by a red asterisk *.

UPLOAD IMAGE OF YOUR PASSPORT*

Selecting the 'CHOSE FILE' or 'BROWSE' button will access the camera on your device, allowing you to photograph the Machine Readable Zone (MRZ) located at the bottom portion of your Passport's biographic page. For accurate results, make sure the MRZ is contained within the full width of the photograph and the photograph is not blurry. If the camera was not detected, you will be able to select and upload a picture of the Machine Readable Zone (MRZ) of your passport. Only png, jpg and jpeg file types can be uploaded. ATTENTION IMPORTANT: The passport photo must not be covered by finger(s) or other objects when taking the photo. The image of the passport page must be fully visible in the photo without any cropped edges. ▼▼▼▼▼▼▼

Drop files here or

Accepted file types: jpg, jpeg, gif, png, Max. file size: 10 MB, Max. files: 1.

SAMPLE PASSPORT PHOTO TO BE UPLOADED

Sample Image of Passport for ESTA

This sample passport displays the information you will need from applicant's passport. Information must be entered exactly as it appears in passport.

Family Name*

Please use only Latin characters (A,B,C..)

First (Given) Name*

Please use only Latin characters (A,B,C..)

Passport Number*

Passport Issuing Country*

Passport Issuance Date*

Passport Expiration Date*

Country of Citizenship*

Personal Identification Number*

National Identification Number*

Gender*

Date of Birth*

City of Birth*

Please use only Latin characters (A,B,C..)

Country of Birth*

You have indicated that you are not a citizen or national of your country of birth. From the list below, please select ALL statements that apply with respect to your country of birth:*

Did not acquire citizenship at birth or have never held citizenship in birth country

Renounced citizenship of birth country

Have not lived or resided in birth country within the past five years

Have not held a passport or national identity card from birth country within the past five years

Other

OTHER CITIZENSHIP/ NATIONALITY

Are you now, a citizen or national of any other country?*

Yes

Country of Citizenship / Nationality*

How did you acquire Citizenship / Nationality from this country*

Other

Have you ever been a citizen or national of any other country?*

Yes

Country of Citizenship / Nationality*

From*

To*

IMPORTANT: Your application number will be sent to the email address entered below. You must verify your email address to complete your application.

Email Address*

Enter Email Confirm Email

If you are not able to complete your application now, you can "Save and Exit" and finish at a later date. We will need to verify your email address before we can send you your Application Number to retrieve your application. (If you did not receive a confirmation email, please check your spam folder.)

Note: If your application is not completed within 7 days, it will be deleted.

ENTER PERSONAL INFORMATION

Are you known by any other names or aliases?*

Yes

Family Name*

First (Given) Name*

Have you ever been issued a passport or national identity card for travel by any other country?*

Yes

Issuing Country*

Document Type*

Document Number*

Expiration Year*

YOUR CONTACT INFORMATION

Address Line 1*

Please use only Latin characters (A,B,C..)

Address Line 2

Please use only Latin characters (A,B,C..)

Apartment Number

City*

Please use only Latin characters (A,B,C..)

State/Province/Region*

Please use only Latin characters (A,B,C..)

Country*

Telephone Type*

Country Code*

Phone Number*

Please use only numbers (0,1,2,3..9)

SOCIAL MEDIA

Please enter information associated with your online presence over the past five years. *

Online presence*

Facebook Profile Link*

LinkedIn Profile Link

Twitter User ID

Instagram User ID

Provider / Platform

Social Media Identifier

GE/NEXUS/SENTRI MEMBERSHIP

Are you a member of the CBP Global Entry/NEXUS/SENTRI Program?*

Yes

PASSID / Membership Number*

PARENTS

Please list your parents names in the boxes to the right. All applicants are required to fill out this section.

Family Name*

Please use only Latin characters (A,B,C..)

First (Given) Name*

Please use only Latin characters (A,B,C..)

Family Name*

Please use only Latin characters (A,B,C..)

First (Given) Name*

Please use only Latin characters (A,B,C..)

EMPLOYMENT INFORMATION

Do you have a current or previous employer?*

Yes

Job Title*

Employer Name*

Address Line 1*

Address Line 2

City*

State/Province/Region*

Country*

Country Code*

Phone Number*

Please use only numbers (0,1,2,3..9)

ENTER TRAVEL INFORMATION

Is your travel to the US occurring in transit to another country?*

Yes

U.S. POINT OF CONTACT INFORMATION

Name*

Address Line 1*

Address Line 2

Apartment Number

City*

State*

Country Code*

Phone Number*

Please use only numbers (0,1,2,3..9)

ADDRESS WHILE IN THE U.S.

The address where you will be staying in the U.S. is optional to complete the application. If multiple locations are planned, enter the first address. If the complete address is not known, enter the name of the hotel or location you will visit.

Is your Address While in the U.S. same as the U.S. Point of Contact Address listed above?

Yes

Address Line 1*

Address Line 2

Apartment Number*

City*

State*

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

Family Name*

First (Given) Name*

E-mail Address*

Country Code*

Phone Number*

Please use only numbers (0,1,2,3..9)

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.

Yes

ALERT
Are you sure you wish to answer "YES" to this question? Answering "YES" may sometimes result in the application being rejected. Please check your answer again.

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?*

Yes

ALERT
Are you sure you wish to answer "YES" to this question? Answering "YES" may sometimes result in the application being rejected. Please check your answer again.

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

Yes

ALERT
Are you sure you wish to answer "YES" to this question? Answering "YES" may sometimes result in the application being rejected. Please check your answer again.

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

Yes

ALERT
Are you sure you wish to answer "YES" to this question? Answering "YES" may sometimes result in the application being rejected. Please check your answer again.

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?*

Yes

ALERT
Are you sure you wish to answer "YES" to this question? Answering "YES" may sometimes result in the application being rejected. Please check your answer again.

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?*

Yes

ALERT
Are you sure you wish to answer "YES" to this question? Answering "YES" may sometimes result in the application being rejected. Please check your answer again.

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?*

Yes

when*

where*

ALERT
Are you sure you wish to answer "YES" to this question? Answering "YES" may sometimes result in the application being rejected. Please check your answer again.

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

Yes

ALERT
Are you sure you wish to answer "YES" to this question? Answering "YES" may sometimes result in the application being rejected. Please check your answer again.

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?*

Yes

Country*

From*

Primary Reason*

To*

ALERT
Are you sure you wish to answer "YES" to this question? Answering "YES" may sometimes result in the application being rejected. Please check your answer again.

WAIVER OF RIGHTS

I have read and understand that I hereby waive for the duration of my travel authorization obtained via ESTA any rights to review or appeal of a U.S. Customs and Border Protection Officer's determination as to my admissibility, or to contest, other than on the basis of an application for asylum, any removal action arising from an application for admission under the Visa Waiver Program. In addition to the above waiver, as a condition of each admission into the United States under the Visa Waiver Program, I agree that the submission of biometric identifiers (including fingerprints and photographs) during processing upon arrival in the United States shall reaffirm my waiver of any rights to review or appeal of a U.S. Customs and Border Protection Officer's determination as to my admissibility, or to contest, other than on the basis of an application for asylum, any removal action arising from an application for admission under the Visa Waiver Program.

REVIEW YOUR APPLICATION

Please review all information for accuracy before submitting your application. If information is inaccurate, select the "Edit" option in the top right corner of the application review. Select "CONFIRM & CONTINUE" if/when all information is correct.

{all_fields:exclude[193,197,227]}

Passport Number*

Issuing Country*

Family Name*

Date of Birth*

Passport Issuance Date*

Passport Expiration Date*

ENTER APPLICANT INFORMATION

SAMPLE PASSPORT PHOTO TO BE UPLOADED

OTHER CITIZENSHIP/ NATIONALITY

IMPORTANT: Your application number will be sent to the email address entered below. You must verify your email address to complete your application.

ENTER PERSONAL INFORMATION

YOUR CONTACT INFORMATION

SOCIAL MEDIA

GE/NEXUS/SENTRI MEMBERSHIP

PARENTS

EMPLOYMENT INFORMATION

ENTER TRAVEL INFORMATION

U.S. POINT OF CONTACT INFORMATION

ADDRESS WHILE IN THE U.S.

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

ELIGIBILITY QUESTIONS

WAIVER OF RIGHTS

REVIEW YOUR APPLICATION

PLEASE MAKE PAYMENT TO COMPLETE APPLICATION

PAYMENT DUE BY: 17/05/2025

PAYMENT SUMMARY