ESTA APPLICATION - onlineimmigration.com

Step 1

Start ESTA Application

Step 2

Pay & Submit

Step 3

Receive ESTA by email

Step 1

Start ESTA Application

Step 2

Pay & Submit

Step 3

Receive ESTA by email

Application Form

Information about the traveler

Given name (as in passport)

Locate your GIVEN NAMES (First and Middle names).

If the spelling of your given names includes non-English characters, refer to the bottom of the photo page and write your given names as printed in the chevrons (>>GIVEN>>NAMES>>).

You may also email us a scanned copy of the photo page in your passport if you would like us to verify the spelling of your name. Our customer services email address is: [email protected]

Last name (as in passport)

Open Passport:
Locate your GIVEN NAMES (First and Middle names). If the spelling of your given names includes non-English characters, refer to the bottom of the photo page and write your given names as printed in the chevrons (>>GIVEN>>NAMES>>). You may also email us a scanned copy of the photo page in your passport if you would like us to verify the spelling of your name. Our customer services email address is: [email protected]

Gender

Male

Female

Date of birth

Day

Month

Year

Email address

We will send the ESTA (the Travel Authorization) to this email address.

Confirm your email address

This email address must be identical to the email address above. This is to ensure that we send the Travel Authorization to the correct email address.

Alternative email address

City of birth

Country of birth

Country of birth - Country

Country of citizenship

Country of birth - Country

Select the country you are a citizen of.

Passport details

Passport number

What is your passport number?

Your passport number is listed in the top right corner of the photo page in your passport. You can verify your passport number by looking in the left lower corner on the same page. The numbers will match.

Note:
• The country code in your passport is NOT a part of your passport number
• Clearly distinguish between the letters I and number 1, the letter O and number 0
• Some passport numbers only include numbers while others include a combination
• Your passport number is between 7 and 11 characters long.

National identification number

When was your passport issued?

Dropdown

Which country issued your passport?

Select the country that issued your passport.

Personal identification number

When does your passport expire?

When was your passport issued?

Dropdown

Other Citizenship/Nationality

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

Repeater Field

* Country of Citizenship	* How did you acquire citizenship / nationality from this country?	Other

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

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

* Country of Citizenship / Nationality	* From	Month	Year	* To	Month	Year

Personal information

Are you known by any other names or aliases?

* Family Name	* First (Given) Name

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

Your Contact Information

Address Line 1

Address Line 2

Apartment Number

City

State/Province/Region

Country

Phone info

*Telephone Type	* Country Code	* Phone number

Social Media (Optional)

Facebook Page ID

Linkedin Profile Link

Twitter User ID

Instagram User ID

Provider / Platform

Provider / Platform	Social Media Indentifier

GE Membership

Are you a member of the CBP Global Entry Program?

PASSID / Membership Number

Parents

Family name

First (Given) Name

Family name

First (Given) Name

Employment

Do you have a current or previous employer?

Job Title

Employer Name

Address Line 1

Address Line 2

City

State/Province/Region

Country

Country Code

Phone Number

Enter Travel Information

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

U.S Point of Contact Information

Name

Address Line 1

Address Line 2

Apartment Number

City

State

Country Code

Phone Number

Address while in the U.S

Is your Address While in the U.S. same as the U.S. Point of Contact Address listed above?

Address Line 1

Address Line 2

Apartment Number

City

State

Emergency Contact person in or out of the U.S.

Family Name

First (Given) Name

E-mail Address

Country Code

Phone Number

Please confirm the responses to the following mandatory questions

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.

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.

Yes

ABOUT A: Diseases
• Chancroid
• Gonorrhea
• Granuloma inguinale
• Leprosy, infectious
• Lymphogranuloma venereum
• Syphilis, infectious stage
• Active Tuberculosis

Drug Abusers and Drug Addicts
Under United States law persons may not be admissible if they have been determined to be a drug abuser or drug addict.

For further information refer to § 212(a)(1)(A) of the Immigration and Nationality Act, 8 U.S.C. § 1182(a)(1)(A), and corresponding regulations in the Code of Federal Regulations.

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?

Yes

ABOUT B: Being arrested or convicted
This question refers to crimes involving moral turpitude - Such offenses generally involve conduct which is inherently base, vile, or depraved and contrary to the accepted rules of morality and the duties owed to persons or society in general. There are factors, such as the age of the offender or the date of the offense that may affect whether an offense will be considered a crime involving moral turpitude for purposes of the Immigration and Nationality Act.

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

Yes

ABOUT C: Related to drugs
For further information refer to § 212(a)(2) of the Immigration and Nationality Act, 8 U.S.C. § 1182(a)(2), § 101(a)(43) of the Immigration and Nationality Act, 8 U.S.C. § 1101(a)(43) and corresponding regulations in the Code of Federal Regulations.

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

Yes

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?

Yes

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?

Yes

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?

When?

Where?

Yes

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

Yes

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

Yes

SECURE APPLICATION

Step 1

Step 2

Step 3

Step 1

Step 2

Step 3

Information about the traveler

Passport details

Other Citizenship/Nationality

Personal information

Your Contact Information

Social Media (Optional)

GE Membership

Parents

Employment

Enter Travel Information

U.S Point of Contact Information

Address while in the U.S

Emergency Contact person in or out of the U.S.

Please confirm the responses to the following mandatory questions

CONTACT

COOKIES

GDPR

PRIVACY POLICY

TERMS

FAQ

Disclaimer: This website is owned and operated by a private agency. We are not affiliated with any government agency.

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