United State eVisa Application

Apply Online Visa United States

The Electronic System for Travel Authorization performs checks against law enforcement databases. All travelers seeking admission to the United States under the Visa Waiver Program are required to obtain an electronic travel authorization using this system prior to being granted boarding.

If your electronic travel authorization application is approved, it establishes that you are eligible to travel, but does not establish that you are admissible to the United States under the Visa Waiver Program. Upon arrival to the United States, you will be inspected by a U.S. Customs and Border Protection Officer at a port of entry who may determine that you are inadmissible under the Visa Waiver Program or for any reason under United States law.

A determination that you are not eligible for electronic travel authorization does not preclude you from applying for a visa to travel to the United States.

All information provided by you, or on your behalf by a designated third party, must be true and correct. An electronic travel authorization 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 willfully make a materially false, fictitious, or fraudulent statement or representation in an electronic travel authorization application submitted by you or on your behalf.

WARNING: If upon application for admission to the United States at a port of entry you are admitted under the Visa Waiver Program (VWP) by a US Customs and Border Protection Officer, you may not accept unauthorized employment; or attend school; or represent the foreign information media during your visit under the program. You may not apply for: 1) a change of nonimmigrant status, 2) an extension of stay, or 3) adjustment of status to temporary or permanent resident, unless eligible under section 245(c)(4) of the Immigration and Nationality Act. Violation of these terms will subject you to REMOVAL.

Please indicate you have read and understand the information provided above:

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

No, I need additional clarification or I decline to provide acknowledgment.

APPLICANT / PASSPORT INFORMATION

Refer to your passport and enter all information in the same format.

Family Name

First ( Given ) Name

Passport number

Date of issue of passport

Date of expiry of passport

Gender

* Date of birth

Country/territory of birth

City/town of birth

Other Citizenship/Nationality

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

Yes

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

Yes

IMPORTANT: Your application number will be sent to the email address entered below. You must verify your email address to complete your application.

Confirm Email Address

ENTER PERSONAL INFORMATION

Please provide all responses in English.

Are you known by any other names or aliases?

Yes

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

Yes

YOUR CONTACT INFORMATION

Please enter your contact information below.

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Social Media Please enter information associated with your online presence over the past five years?

Enter Url

I do not have an online presence.

GE/NEXUS/SENTRI MEMBERSHIP

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

Yes

PARENTS

First Name

Last Name

First Name

Last Name

EMPLOYMENT INFORMATION

Do you have a current or previous employer?

Yes

Job Title

Employer Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

ENTER TRAVEL INFORMATION

Please provide all responses in English.

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

Yes

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

First Name

Last Name

Address

Country

Phone/Mobile

ELIGIBILITY QUESTIONS

Do you have a physical or mental disorder

Yes

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?

Yes

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

Yes

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

Yes

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?

Yes

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?

Yes

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?

Yes

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

Yes

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?

Yes

WAIVER OF RIGHTS

I have read and understand that I hereby waive for the duration of my travel authorization obtained via ESTA any rights to review or appeal of a U.S. Customs and Border Protection Officer's determination as to my admissibility, or to contest, other than 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 into the United States under the Visa Waiver Program, I agree that the submission of biometric identifiers (including fingerprints and photographs) during processing upon arrival in the United States shall reaffirm my waiver of any rights to review or appeal of a U.S. Customs and Border Protection Officer's determination as to my admissibility, or to contest, other than on the basis of an application for asylum, any removal action arising from an application for admission under the Visa Waiver Program.

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.

For third-parties submitting the application on behalf of the applicant, I hereby certify that I have read to the individual whose name appears on this application (applicant) all the questions and statements on this application. I further certify that the applicant certifies that he or she has read, or has had read to him or her, all the questions and statements on this application, understands all the questions and statements on this application, and waives any rights to review or appeal of a U.S. Customs and Border Protection Officer's determination as to his or her admissibility, or to contest, other than on the basis of an application for asylum, any removal action arising from an application for admission under the Visa Waiver Program. The answers and information furnished in this application are true and correct to the best of the applicant's knowledge and belief.