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Your application details

Enter your details exactly as they appear on your passport.

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United States

ESTA

1Applicant information

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Email address

Repeat email address

The information on this form is processed for this application. Privacy Policy

First name(s)

Family name

Gender

Date of birth

Place of birth

Country of birth

Mother's first name

Mother's family name

Father's first name

Father's family name

2Contact information

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Telephone number

Address line

Apartment number(optional)

City

State / province / region

Country of residence

3Employment

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Do you have a current or previous employer?

4Emergency contact

Emergency contact first name(optional)

Emergency contact family name(optional)

Emergency contact telephone(optional)

Emergency contact email(optional)

5Travel to the United States

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Is your travel to the United States in transit to another country?

Are you a member of the CBP Global Entry Program?

6Passport information

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Country of citizenship / nationality

Passport issuing country

Passport number

Repeat passport number

Passport date of issue

Passport expiry date

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

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

7Eligibility questions

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Do you have a communicable disease of public health significance, a physical or mental disorder, or are you a drug abuser or addict?

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?

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

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

Have you ever sought to obtain, or assist others to obtain, a visa or entry into the United States by fraud or misrepresentation?

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?

Have you ever been denied a U.S. visa, been refused admission to the United States, or withdrawn an application for admission at a U.S. port of entry?

Have you ever stayed in the United States longer than the period of admission granted to you, or otherwise violated the terms of a U.S. admission?

Have you travelled to, or been present in, Iraq, Syria, Iran, Sudan, Libya, Somalia or Yemen on or after 1 March 2011?

Passport bio page

Attach this document. You can skip it and add it later from your tracking page.

The passport page with your photo and personal details. The whole page must be visible and legible.

A photo (JPG, PNG, HEIC…) or a PDF · max 20 MB.

Passport-style photograph

Attach this document. You can skip it and add it later from your tracking page.

A passport-style photo of the applicant, with the face clearly visible. Not a copy of the passport itself.

A photo (JPG, PNG, HEIC…) or a PDF · max 20 MB.

I declare that the answers and information provided are true and correct, and I understand that final admission to the United States is decided by a CBP officer on arrival.

I accept the Terms of Service and Privacy Policy, and confirm I am 18 or older.

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