ESTA Application USA | Electronic System For Travel Authorization | Evisaus

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 under visa waiver program. Each member of your traveling party must complete a separate application.

Please enter all information requested and provide all responses in English.

Required fields are indicated by a red asterisk *.

APPLICANT / PASSPORT INFORMATION

Family Name *

First (Given) Name *

Gender *

Are you known by any other names or aliases *

Family Name *

First (Given) Name *

Date of Birth *

City of Birth *

Country of Birth *

Passport Number *

Country of Citizenship *

Issuance Date *

Issuing Country *

Expiration Date *

Journey Date *

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

Issuing Country *

Document Type *

Document Number *

Expiration Year *

OTHER CITIZENSHIP/NATIONALITY

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

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? *

Country of Citizenship / Nationality *

GE MEMBERSHIP

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

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*

First (Given) Name*

Family Name*

First (Given) Name*

YOUR CONTACT INFORMATION

Please enter your contact information below.

Address Line 1*

Address Line 2

Apartment Number

City *

State/Province/Region *

Country *

Telephone Type *

Country Code + Phone *

E-mail Address *

Confirm E-mail Address *

SOCIAL MEDIA (OPTIONAL)

Please enter information associated with your online presence.

Provider / Platform

Social Media Identifier *

EMPLOYMENT INFORMATION

Do you have a current or previous employer? *

Job Title *

Employer Name *

Address Line 1 *