ESTA-ansökan

1 Applicant Information
2 Travel Information
3 Payment Information
  • DO NOT USE SPECIAL CHARACTERS WHEN FILLING OUT THIS APPLICATION. Ü should be UE. Ö should be OE. ß should be SS. Ä should be AE.
  • APPLICANT / PASSPORT INFORMATION

    Enter all information in the same format as on your passport.
  • Name or Alias

  • Date of Birth

  • Issuance Date

  • Expiration Date

  • If you have never been issued any one of these documents by any other country answer "No" to this question. If you have been issued one of these documents from another country, but you do not remember the passport number or national identification card number and the year of expiration answer "UNKNOWN" in the passport number field and four zeros "0000" in the year of expiration field.
  • OTHER CITIZENSHIP/NATIONALITY

  • GE MEMBERSHIP

  • PARENTS

    Enter the names of your parents. These are required to complete the application. If you do not know the name of one or both of your parents, enter UNKNOWN, for each parent. This field can include the names of your biological, adoptive, step-parent or guardian.
  • YOUR CONTACT INFORMATION

  • SOCIAL MEDIA (OPTIONAL)

    Please enter information associated with your online presence.
  • List the username, handle, screen-name, or other identifier associated with your social media profile.
  • EMPLOYMENT INFORMATION

  • U.S. POINT OF CONTACT INFORMATION

    A U.S. point of contact may be a friend, relative, or business associate. If you do not have a U.S. point of contact, please enter the name, address and telephone number of the location where you will be staying (e.g. a hotel name). You mav also enter UNKNOWN.
  • You may also select UNKNOWN.
  • If you do not have a point of contact telephone number you may enter zeros.
  • EMERGENCY CONTACT INFORMATION IN OR OUT OF THE U.S.

    Enter your emergency point of contact who may be a person in or outside of the United States, e.g., a family member, friend, or business associate. If you have no emergency contact, enter UNKNOWN.
  • If you do not have an emergency contact telephone number you may enter zeros.
  • ELIGIBILITY 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.
  • American Express
    Discover
    MasterCard
    Visa
     
  • A fee of USD79 is charged per application, which includes a fee charged by the US government. By clicking 'Pay and confirm' you accept our Terms and Conditions and Privacy Policy.
ESTA-ansökan

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