Esta Application

The following information is required of every nonimmigrant visitor not in possession of a visitor's visa who is a national of one of the eligible countries. Please enter all information requested. Each member of your traveling party must complete a separate application.

Please provide all responses in English. Mandatory fields are indicated by a red asterisk *

Applicant Information

UPLOAD YOUR PASSPORT (jpg, jpeg, png)*

Select a image of your Passport biographical data page

Family Name*

First (Given) Name*

Gender*

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.

In the First (Given) Name field, enter your first (given) name as the first name appears on your passport under the First or Given Name field. Do not include the middle name in this field. The first name is required to complete the application. If you have no first name, then enter the letters FNU which stands for First Name Unknown.

Birth Date*

In the Day field, choose the day on which you were born. The day of birth is required to complete the application or to check the status of your application.

In the Month field, choose the month in which you were born. The month of birth is required to complete the application or to check the status of your application.

In the Year field, choose the year in which you were born. The year of birth is required to complete the application and to check the status of your application.

City of Birth*

Enter the city, town, village, or hamlet in which you were born. The city, town, village, or hamlet where you were born is required to complete the application. If you do not know the city in which you were born, enter UNKNOWN.

Country of Birth*

Choose the country in which you were born. The country where you were born is required to complete the application.

Passport Information

Passport Number*

Enter your passport number as it appears on your passport. The passport number may contain numbers and/or characters. Please closely distinguish between the number zero and the letter O. The passport number is required to complete the application or to check the status of your application.

Country of Citizenship*

Passport Issuance Date *

In the Day field, choose the day on which your passport was issued, as it appears on your passport under the Date of Issue field. The day on which the passport was issued is required to complete the application.

In the Month field, choose the month in which your passport was issued, as it appears on your passport under the Date of Issue field. The month in which the passport was issued is required to complete the application.

In the Year field, choose the year in which your passport was issued, as it appears on your passport under the Date of Issue field. The year in which the passport was issued is required to complete the application.

Issuing Country*

Passport Expiration Date*

In the Day field, choose the day on which your passport expires, as it appears on your passport under the Expiration Date or Extension field. The day on which the passport expires is required to complete the application.

In the Month field, choose the month in which your passport expires, as it appears on your passport under the Expiration Date or Extension field. The month in which the passport expires is required to complete the application.

In the Year field, choose the year in which your passport expires, as it appears on your passport under the Expiration Date or Extension field. The year in which the passport expires is required to complete the application.

Other Citizenship/Nationality

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

If Yes, select the country first, then select how you acquired the citizenship/nationality.

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

“Previous” means at any time in the past, without limitation.

E-mail Address*

Confirm E-mail Address

Alternative E-mail Address

Enter the e-mail address at which you can be contacted. The e-mail address is required to complete the application. If you do not have an e-mail address, you may provide an alternative third-party e-mail address belonging to a point of contact (e.g. a family member, friend or business associate.)

ESTA Application

Applicant Information

Passport Information

Other Citizenship/Nationality

Contact Information

Social Media

GE MEMBERSHIP

Parents

Employment Information

Travel Information

US Point of Contact Information

Emergency Contact Information In or Out of the United States

Do any of the following apply to you? (Answer Yes or No)

Application Submittal

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