Apply

ESTA Application

1 Passport Information

2 Personal Information

3 Travel Information

4 Eligibility

5 Review

6 Pay

Family Name ^* Enter your Family name exactly as shown in your passport.

First (Given) Name ^* Enter your First and Middle Name(s) as shown on your passport.

Passport Number ^*

Issuing Country ^*

Issuance Date ^*

Expiration Date ^*

Country of Citizenship ^*

Sex ^*

Male

Female

Date of Birth ^*

City of Birth ^*

Country of Birth ^*

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

Yes

Country of Citizenship/Nationality ^*

How did you acquire citizenship/nationality from this country? ^*

Have you ever been a citizen or national of any other country in the past? * ^*

Yes

E-mail Address ^*

Confirm E-mail Address ^*