Apply ESTA




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,
Family Name:1: First (Given) Name:1:

Family Name:2: First (Given) Name:2:

Application results will be sent to your e-mail. Please write the correct e-mail address that can receive.


Enter the city, town, village, or hamlet in which you were born. The city, town, village, or hamlet. If you do not know the city in which you were born, enter UNKNOWN.
TYPE: Country Code:

Telephone Number:


   

   

   

   



Question

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:
Chancroid
Gonorrhea
Granuloma Inguinale
Leprosy, infectious
Lymphogranuloma venereum
Syphilis, infectious
Active Tuberculosis
   
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?
   
C)Have you ever violated any law related to possessing, using, or distributing illegal drugs?
   
D)Do you seek to engage in or have you ever engaged in terrorist activities, espionage, sabotage, or genocide?
   
E)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?
   
F)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you applied for with your current or previous passport, or have you ever been refused admission to the United States or withdrawn your application for admission at a U.S. port of entry?
   
G):Have you ever asserted immunity from prosecution?
   
H):Have you ever stayed in the United States longer than the admission period granted to you by the U.S. government
   
I):ESTA Application - Electronic System for Travel Authorization
   

Credit Card Billing Address



Please proceed to apply only if you agree to the disclaimer regulated by USA as shown below and to all the terms of use and other items to be agreed. Please be careful, that if any information of your passport or wrong answer is made to the question when you fill the application form, ESTA certification may be declined.