Step 1:
Submit New ESTA
Application Online

Step 2:
Review and Confirm
Payment

Step 3:
Receive Approved ESTA
Travel Authorization


About the Traveler

  • * Are you known by any other official names or aliases?
  • * Are you male or female?
  • * Date of birth
  • If you do not know one or both of your parents' names, please write: UNKNOWN


Passport Details

  • * When was your passport issued?
  • * When does your passport expire?
  • * Are you a citizen of any other country?

Contact Information

  • What is your contact number and home address?

Emergency Contact Information

  • Who can be contacted in the event of an accident?

Travel Information

  • Which one of these two statements matches the travel itinerary?

     

  • Contact details of person/hotel/cruise ship/etc in the USA. If not known, write: UNKNOWN

  • Address of person/hotel/cruise ship terminal/etc in the USA. If not known, write: UNKNOWN

Employment Information

  • * Are you employed or have you ever been employed?
  • What is the address of the company or employer?

Please confirm the responses to the following mandatory questions:

  • A) 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

  • B) 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? *

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

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

  • E) 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? *

  • F) 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? *

  • G) 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you applied for with your current or previous passport, or have you ever been refused admission to the United States or withdrawn your application for admission at a U.S. port of entry? *

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


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