ESTA Application

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Step 1 of 3
Select your service plan

Applicant information

Name
Other names/aliases
Gender
Mother's name
Father's name

Contact information

Email address
Address

Employment information

Do you have a current or previous employer?

Emergency Contact Information In or Out of the United States

Emergency contact name

Travel information

Is your travel to the US occurring in transit to another country?

Passport information

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?
Have you ever been a citizen or national of any other country?

GE Membership

Are you a member of the CBP Global Entry Program?

Do any of the following apply to you?

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 virus disease, Crimean-Congo, Severe acute respiratory illnesses capable of transmission to other persons and likely to cause mortality
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?
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 you applied for with your current or previous passport, or have you ever been refused admission to the United States or withdrawn your application for admission at a U.S. port of entry?
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, Sudan, Libya, Somalia, North Korea or Yemen on or after March 1, 2011?