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1Applicant information
2Eligiblity questions
3Pay & receive
  • APPLICANT / PASSPORT INFORMATION

    Refer to your passport and enter all information in the same format.
  • Important Notice: You may not use any special characters throughout this form.
  • In the First (Given) Name field, enter ALL names exactly as they appear on your passport in the First (Given) Name field. If a second or middle name is included in the First (Given) Name field on your passport, it must also be included here.
  • In the Family Name field, enter your family name as the family name appears on your passport under the Family Name or Surname field. The family name is required to complete the application.
  • Date of Birth

  • Please enter your passport number exactly as its stated in your passport. If you enter a wrong passport number, then your ESTA will NOT be valid.
  • Confirm your Passport Number. A wrong passport number will been that your ESTA is not valid. So please make sure that your Passport Number is correct.
  • Country of Citizenship (Nationality) as it appears on your Passport.
  • Country of Citizenship as it appears on your Passport.
  • Passport Issuance Date

    Please choose your Passport's Date of Issue exactly as it appears in your Passport.
  • Passport Expiration Date

    Please choose your Passport's Date of Expiry exactly as it appears in your Passport.
  • Other Citizenship/Nationality

  • State the passport or document number of this travel document
  • State 'Other' reason.
  • From

    Enter the date from which your previous citizenship started.
  • To

    Enter the date your previous citizenship ended.
  • Email address

    You will receive the response to your ESTA application at your email address. It is therefore important that you enter it correctly.
  • Personal information

  • Other name/alias

  • Contact details

    Please enter your home address.
  • Please choose your Phone Country Code.
  • Do NOT enter "+" or "country code" in this field. You will also receive a text message by SMS with your ESTA application number on this phone number.
  • Parents

  • Employment

  • Enter the address of your workplace.
  • Travel Information

    Select Yes if you are traveling to the United States on your way to another country, e.g. if you stopover in the US as part of your flight.
  • Contact point in the United States

    For example, your US contact point may be a friend, family member, or business associate. Otherwise you can specify the place you are going to stay overnight (eg your hotel). You can also type UNKNOWN instead.
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    Skal angives uden landekode eller mellemrum. Hvis ikke du kender telefonnummeret kan du i stedet indtaste nuller.
  • Emergency contact

  • Phone Country Code of Emergency Contact.
  • Do NOT enter "+" or "country code" in this field. Enter the phone number of your Emergency Contact.
  • *With regard to physical or mental disorders, answer "Yes" to this question if: You currently have a physical or mental disorder and a history of behavior associated with the disorder that may pose or has posed a threat to your property, safety or welfare or that of others; or You had a physical or mental disorder and a history of behavior associated with the disorder that has posed a threat to your property, safety or welfare or that of others and the behavior is likely to recur or lead to other harmful behavior. Answer "No" if: You currently have no physical or mental disorders; or You have or had a physical or mental disorder without associated behavior that may pose or has posed a threat to your property, safety or welfare of that of others; or You currently have a physical or mental disorder with associated behavior, but that behavior has not posed, does not currently pose nor will pose a threat to your property, safety or welfare or that of others; or You had a physical or mental disorder with associated behavior that posed a threat to your property, safety or welfare or that of others, but that behavior is unlikely to recur.
  • At arrival in the US you must provide documentation
  • Payment

    Pay & Receive your ESTA

  • By clicking Pay & Submit Application, you agree to our Terms & Conditions and Privacy Policy, and to pay the application cost of USD 99.

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