ESTA Application

In order to apply for ESTA now, please complete in the application form all the required fields (indicated by a red asterisk *).

All answers must be in English.


Applicant Information



 



Parents Information  





Passport Details



















Contact Information





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Emergency Contact Information 



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Travel Information 


Employment Information 











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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 (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.

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applied for with your current or previous passport, or have you ever been refused admission to the United States or withdrawn your application for admission at a U.S. port of entry?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


I) Have you traveled to, or been present in Iraq, Syria, Iran, or Sudan on or after March 1, 2011?




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