Esta Application Form

The Electronic System for Travel Authorisation (ESTA) performs checks against law enforcement databases. All travellers seeking admission to the United States under the Visa Waiver Programme must obtain electronic travel authorisation via this system before they can be granted boarding.While approval of your ESTA application establishes your eligibility to travel, it does not guarantee your admissibility to the United States under the Visa Waiver Programme. Upon arrival in the United States, a U.S. Customs and Border Protection Officer will inspect you at a port of entry and may determine that you are inadmissible to the United States under the Visa Waiver Programme or for any other reason under United States law.Being deemed ineligible for electronic travel authorisation does not preclude you from applying for a visa to travel to the United States.All information provided by you or a designated third party on your behalf must be true and correct. An authorisation may be revoked at any time and for any reason, such as new information influencing eligibility. You may be subject to administrative or criminal penalties if you knowingly and wilfully make a materially false, fictitious or fraudulent statement or representation in an ESTA application submitted by you or on your behalf.

WARNING: If you are admitted to the United States under the Visa Waiver Programme (VWP) by a US Customs and Border Protection officer when applying for admission at a port of entry, you may not: accept unauthorised employment, attend school, represent the foreign information media during your visit under the programme. You may not apply for: 1) a change of non-immigrant status; 2) an extension of stay; or 3) an adjustment of status to temporary or permanent resident, unless you are eligible under section 245(c)(4) of the Immigration and Nationality Act. Violation of these terms will result in removal.

Acceptance

Yes, I have read and understand the information and agree to these terms.

Passport Information

Referrence Number

Upload Passport (.jpg, .jpeg, or .png formats accepted)

Upload Selfie (.jpg, .jpeg, or .png formats accepted)

Family Name

Name

Passport Number

Issuing Country

Issuance Date

Experation Date

Country of Citizenship

National Identification Number

Personal Identification Number

Sex

Date of Birth

City of Birth

Country of Birth

Other Citizenship/Nationality

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

If yes, complete the below form.

Country of Citizenship

How did you acquire citizenship from this country?

Other

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

If yes, complete the below form.

Country of Citizenship

From

Email

Personal Information

Are you known by any other names or aliases?

If yes, complete the below form.

Family Name

Name

Have you ever been issued a passport or national identity card for travel by any other country?

If yes, complete the below form.

Issuing Country

Document Type

Document Number

Expiration Year

YOUR CONTACT INFORMATION

Address

Apartment Number

City

State / Province / Region

Country

Telephone Type

Country Code

Phone Number

SOCIAL MEDIA

Facebook Page ID

LinkedIn Profile Link

Twitter User ID

Instagram User ID

Provider / Platform

Social Media Identifier

Online Presence

I do not have an online presence.

GE/NEXUS/SENTRI MEMBERSHIP

Are you a member of the CBP Global Entry/NEXUS/SENTRI Program?

If so, please provide the PASSID.

PARENTS

Family Name

Name

Family Name

Name

EMPLOYMENT INFORMATION

Do you have a current or previous employer?

If yes, please complete the questionnaire.

Job Title

Employer Name * Required

Address * Required

City * Required

State / Province / Region * Required

Country * Required

Country Code

Phone Number

TRAVEL INFORMATION

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

If no, please complete the questionnaire.

U.S. Point of Contact Information

Name * Required

Address * Required

Address

Apartment Number

City * Required

State * Required

Country Code

Phone Number

Address While in the U.S.

The address where you will be staying in the U.S. is optional to complete the application. If multiple locations are planned, enter the first address. If the complete address is not known, enter the name of the hotel or location you will visit.

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

If no, please complete the questionnaire.

Address

Apartment Number

City

State

EMERGENCY CONTACT INFORMATION IN OR OUT OF THE U.S.

Family Name

Name

Country Code

Phone Number

ELIGIBILITY QUESTIONS

1. Do you have a physical or mental disorder? Are you a drug abuser or addict? Do you currently have any of the following communicable diseases specified pursuant to Section 361(b) of the Public Health Service Act:
Cholera;
Diphtheria; Infectious tuberculosis;
Plague;
Smallpox;
Yellow fever;
Viral hemorrhagic fevers, including Ebola, Lassa, Marburg, and Crimean-Congo;
Severe acute respiratory illnesses capable of transmission to other persons and likely to cause mortality

2. 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?

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

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

5. 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?

6. 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?

7. 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?

If yes: when * Required

If yes: where * Required

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

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

If yes: Country * Required

If yes: From * Required

If yes: To * Required

If yes: Primary Reason

WAIVER OF RIGHTS

I have read and understood that, for the duration of my travel authorization obtained via ESTA, I hereby waive any rights to review or appeal a U.S. Customs and Border Protection officer's determination regarding my admissibility. I also waive any rights to contest, except on the basis of an application for asylum, any removal action arising from an application for admission under the Visa Waiver Program.

In addition to the above waiver, as a condition of each admission to the United States under the Visa Waiver Program, I agree that submitting biometric identifiers (including fingerprints and photographs) during processing upon arrival shall reaffirm my waiver of the right to review or appeal a U.S. Customs and Border Protection officer's determination regarding my admissibility. I also waive the right to contest any removal action arising from an application for admission under the Visa Waiver Program, except on the basis of an application for asylum.

CERTIFICATION:

I, the applicant, hereby certify that I have read, or have had read to me, all the questions and statements on this application and understand all the questions and statements on this application. The answers and information furnished in this application are true and correct to the best of my knowledge and belief.

REVIEW AND SUBMIT YOUR APPLICATION

Please take a moment to review all the information you have entered before submitting your application. Ensure that your passport details, personal information, and eligibility answers are 100% accurate. Mistated information can lead to delays or denial by the government.

WHAT HAPPENS NEXT?

1. Get Your Payment Link: Immediately after submitting this form, you will receive an email with a secure link to complete your payment of $100.00 + applicable taxes.
2. Expert Review & Government Submission: Once your payment is successfully processed, our team will thoroughly review your details and submit your official application to the government for processing.
3.Receive Your Status: Most applications are processed within 72 hours. You will receive your ESTA status directly via email.

I confirm that I have read the information above and verify that all details provided in my application are accurate, true, and correct.

I understand that a payment link for $100.00 + Local Tax will be sent to my email, and my application will only be reviewed and submitted to the government after this payment is processed. I acknowledge that this payment is strictly non-refundable once processed.

Step-by-Step Passport Instructions

Include the Entire Page: Capture the complete biographical data page of your passport. Ensure all four edges and corners of the page are fully visible within the frame.

Keep the MRZ Flat and Horizontal: The Machine Readable Zone (MRZ)—the two lines of text, numbers, and chevrons (<<<< ) at the very bottom—must be perfectly horizontal and fill the entire width of your photo.

Eliminate Glare and Shadows: Avoid using a direct camera flash, as reflections on the glossy passport page can obscure critical numbers or letters. Move to a well-lit room with indirect, even light.

Keep it Sharp and Steady: Ensure the text, your printed passport photo, and all data fields are entirely clear and not blurred.

Lay it Flat: Hold or weight down the pages gently if your passport tends to curve or snap shut, but make sure your fingers or objects do not block any text or your face.

Step-by-Step Selfie Instructions

Do NOT Reuse Your Passport Photo: Do not upload a cropped snippet or a scanned copy of your passport picture. The system requires a brand-new, live photo taken at the time of your application. Reusing your passport photo will cause your application to be rejected or canceled.

Use a Plain, Solid Background: Stand in front of a completely flat, light-colored, or neutral wall (white, off-white, or light gray). Ensure there are no patterns, household objects, or other people visible behind you.

Keep an Exact Framing: Position yourself so that only your head, neck, and the tops of your shoulders fill the image frame. Look straight into the camera lens with your head level—do not tilt your face up, down, or sideways.

Maintain a Neutral Expression: Look directly at the camera with both eyes open and your mouth closed. Do not smile, frown, squint, or show your teeth.

Ensure Balanced Lighting: Face toward a natural light source (like a window) to distribute light evenly across your face. Avoid harsh overhead lights, direct flashes, or side lighting that leaves dark shadows under your nose, eyes, or on one side of your face.

Remove Obstructions and Filters: Take off any sunglasses, eyeglasses with reflective glare, hats, masks, or headwear (unless worn daily for religious purposes). Do not apply any digital filters, airbrushing, or beauty edits to the photo.