ESTA

Electronic System for Travel Authorization

ESTA Application Form

 


The following information is required of every nonimmigrant visitor not in possession of a visitor's visa who is a national of one of the ESTA countries 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. Mandatory fields are indicated by a red asterisk *. If you don't know the answer to a required question simply put UNKNOWN.

Applicant Information

Enter your family name as the family name appears on your passport under the Family Name or Surname field.  This field is required

Enter your first (given) name as the first name appears on your passport under the First or Given Name field. Do not include the middle name in this field. First name is required to complete the application. If you have no first name, then enter the letters FNU which stands for First Name Unknown  This field is required

Male Female This field is required

Enter your Birth Date (day - month - year) as it appears on your passport This field is required

Choose the country in which you were born. This field is required

Choose the country of citizenship, as it appears on your passport. This field is required

Choose the country in which you reside. This field is required

Select your country dial code. Then enter the telephone number where you may be contacted. The number is required to complete the application. This field is required Enter the telephone number where you may be contacted. The number is required to complete the application. This field is required  This field is required

Enter the number and street of the location of your home address. Do not include the city and state in this field. Address line 1 is required to complete the application.  This field is required

Enter the city, town, village, or hamlet. The city, town, village, or hamlet is required to complete the application.  This field is required

 

Passport Information

Enter your passport number as it appears on your passport. The passport number may contain numbers and/or characters. Please closely distinguish between the number zero and the letter O. This field is required

"Choose the country of citizenship, as it appears on your passport. This field is required

Enter your Passport Issuance Date as it appears on your passport. This field is required

Enter your Passport Expiration Date as it appears on your passport. This field is required

 

Yes No This field is required

 

Yes No This field is required

 

 

Yes No This field is required

 

 

Travel Information

Yes No

 

 

Additional Information

Enter the names of your parents. These are required to complete the application. If you do not know the name of one or both of your parents, enter UNKNOWN, for each parent. This field can include the names of your biological, adoptive, step-parent or guardian. In the Family Name field, enter your parent's family name. The family name is required to complete the application. If you do not know one or both of your parents, enter UNKNOWN. In the First (Given) Name field, enter your parent's first (given) name. Do not include the middle name in this field. The first name is required to complete the application. If your parent has no first name, or if you do not know one or both of your parents, enter UNKNOWN. This field is required

Enter your mother's first name. This field is required

Enter your father's last name. This field is required

Enter your father's first name. This field is required

 

Yes No

 

 

Security Questions

Please click on the following questions to read them.

After reading each question, click outside the white box (or press "ESC") to exit the question.

Yes No This field is required

Yes No This field is required

Yes No This field is required

Yes No This field is required

Yes No This field is required

Yes No This field is required

Yes No This field is required

Yes No This field is required

Yes No This field is required

 

 

Please, indicate that you have read and understand the Terms and Conditions and agree to these terms by writing your email address below.

insert the e-mail address in order to receive the ESTA document once you have completed the application. Verification of the address you enter is recommended. This field is required

Reinsert the email address, inserted previously. This is necessary to verify you did not make any typing errors. This field is required

 

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: Chancroid, Gonorrhea, Granuloma Inguinale, Leprosy, infectious, Lymphogranuloma venereum, Syphilis, infectious Active Tuberculosis
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 committed fraud or misrepresented yourself or others to obtain, or assist others to obtain, a visa or entry into the United States?
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?
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 stayed in the United States longer than the admission period granted to you by the U.S. government?
Have you traveled to, or been present in Iraq, Syria, Iran, or Sudan on or after March 1, 2011?

Terms and Conditions

The Electronic System for Travel Authorization performs checks against law enforcement databases. All travelers seeking admission to the United States under the Visa Waiver Program are required to obtain an electronic travel authorization using this system prior to being granted boarding.

If your electronic travel authorization application is approved, it establishes that you are eligible to travel, but does not establish that you are admissible to the United States under the Visa Waiver Program. Upon arrival to the United States, you will be inspected by a U.S. Customs and Border Protection Officer at a port of entry who may determine that you are inadmissible under the Visa Waiver Program or for any reason under United States law.

A determination that you are not eligible for electronic travel authorization does not preclude you from applying for a visa to travel to the United States.

All information provided by you, or on your behalf by a designated third party, must be true and correct. An electronic travel authorization may be revoked at any time and for any reason, such as new information influencing eligibility. You may be subject to administrative or criminal penalties if you knowingly and willfully make a materially false, fictitious, or fraudulent statement or representation in an electronic travel authorization application submitted by you or on your behalf.

WARNING: If upon application for admission to the United States at a port of entry you are admitted under the Visa Waiver Program (VWP) by a US Customs and Border Protection Officer, you may not accept unauthorized employment; or attend school; or represent the foreign information media during your visit under the program. You may not apply for: 1) a change of nonimmigrant status, 2) an extension of stay, or 3) adjustment of status to temporary or permanent resident, unless eligible under section 245(c)(4) of the Immigration and Nationality Act. Violation of these terms will subject you to REMOVAL.

Our Service

An administrative fee will of $64 be collected by credit card and covers all the benefits offered by ESTAeVisa previously mentioned. Please note that we are not a government website, but a private consulting agency. It is crucial that all applicants enter their ESTA and credit card information accurately. However, if information is entered incorrectly, the applicant will not be charged additional fees to reapply. Updates to an application will not accrue additional fees. Applicants who do not complete the payment process will not receive authorization to travel to the United States and will not be allowed to board any aircraft or vessel destined for the United States. If an applicant stops payment of the fee, his or her authorization to travel to the United States will be revoked. EstaEVisa is not responsible for additional fees that may be charged by the applicant's credit card company for the transaction. By pressing the "Apply" button in the application process, applicants agree not to dispute any administrative fee charged by EstaEVisa for the use of the ESTA system, and further acknowledge that there are no refunds.