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Step
1
of
6
16%
ΣΕ ΣΥΝΘΕΣΗ, ΧΡΗΣΙΜΟΠΟΙΕΙΤΕ ΜΟΝΟ ΛΑΤΙΝΙΚΟ ΑΛΦΑΒΗΤΟ
Main Contact information
Enter the details of the person filling out the form.
It is to this contact that we will send important notifications and the application ESTA.
First name and last name of the applicant
*
First name
Last name
Country code and mobile phone
*
Fill in a mobile phone number according to the international format, we will send you the processing notifications via sms
Email
*
We will send you the processing notifications and ESTA authorization to this mail
Traveller Information
Enter the traveller's name and surname:
In the First Name field, enter all the names, in the same sequence as they appear in the passport. If there is no name, write "FNU", which means first name unknown.
In the Last Name field, enter your last name as it appears on your passport.
Traveler’s First name and Last name
*
First name
Last name
Gender
*
Male
Female
Date of Birth
*
DD slash MM slash YYYY
City of Birth
*
Enter the city, town, village, or hamlet in which you were born. If you do not know the city in which you were born, enter UNKNOWN.
Country of Birth
*
AFGHANISTAN (AFG)
ALAND ISLANDS (ALA)
ALBANIA (ALB)
ALGERIA (DZA)
AMERICAN SAMOA (ASM)
ANDORRA (AND)
ANGOLA (AGO)
ANGUILLA (AIA)
ANTARCTICA (ATA)
ANTIGUA AND BARBUDA (ATG)
ARGENTINA (ARG)
ARMENIA (ARM)
ARUBA (ABW)
AUSTRALIA (AUS)
AUSTRIA (AUT)
AZERBAIJAN (AZE)
BAHAMAS (BHS)
BAHRAIN (BHR)
BANGLADESH (BGD)
BARBADOS (BRB)
BELARUS (BLR)
BELGIUM (BEL)
BELIZE (BLZ)
BENIN (BEN)
BERMUDA (BMU)
BHUTAN (BTN)
BOLIVIA (BOL)
BONAIRE, SINT EUSTATIUS AND SABA (BES)
BOSNIA AND HERZEGOVINA (BIH)
BOTSWANA (BWA)
BOUVET ISLAND (BVT)
BRAZIL (BRA)
BRITISH INDIAN OCEAN TERRITORY (IOT)
BRUNEI (BRN)
BULGARIA (BGR)
BURKINA FASO (BFA)
BURMA (BUR)
BURUNDI (BDI)
CAMBODIA (KHM)
CAMEROON (CMR)
CANADA (CAN)
CANTON AND ENDERBURY ISLANDS (CTE)
CAPE VERDE (CPV)
CAYMAN ISLANDS (CYM)
CENTRAL AFRICAN REPUBLIC (CAF)
CHAD (TCD)
CHILE (CHL)
CHINA (CHN)
CHRISTMAS ISLAND (CXR)
COCOS (KEELING) ISLANDS (CCK)
COLOMBIA (COL)
COMOROS (COM)
CONGO, DEMOCRATIC REPUBLIC OF (COD)
CONGO, REPUBLIC OF (COG)
COOK ISLANDS (COK)
COSTA RICA (CRI)
COTE D'IVOIRE (CIV)
CROATIA (HRV)
CUBA (CUB)
CURACAO (CUW)
CYPRUS (CYP)
CZECH REPUBLIC (CZE)
DEMOCRATIC YEMEN (YMD)
DENMARK (DNK)
DJIBOUTI (DJI)
DOMINICA (DMA)
DOMINICAN REPUBLIC (DOM)
DRONNING MAUD LAND (DML)
EAST TIMOR (TMP)
ECUADOR (ECU)
EGYPT (EGY)
EL SALVADOR (SLV)
EQUATORIAL GUINEA (GNQ)
ERITREA (ERI)
ESTONIA (EST)
ETHIOPIA (ETH)
FALKLAND ISLANDS (FLK)
FAROE ISLANDS (FRO)
FIJI (FJI)
FINLAND (FIN)
FRANCE (FRA)
FRANCE METROPOLITAN (FXX)
FRENCH GUIANA (GUF)
FRENCH POLYNESIA (PYF)
FRENCH SOUTHERN TERRITORIES (ATF)
GABON (GAB)
GAMBIA (GMB)
GEORGIA (GEO)
GERMANY (DEU)
GHANA (GHA)
GIBRALTAR (GIB)
GREECE (GRC)
GREENLAND (GRL)
GRENADA (GRD)
GUADELOUPE (GLP)
GUAM (GUM)
GUATEMALA (GTM)
GUERNSEY (GGY)
GUINEA (GIN)
GUINEA-BISSAU (GNB)
GUYANA (GUY)
HAITI (HTI)
HEARD AND MC DONALD ISLANDS (HMD)
HONDURAS (HND)
HONG KONG (HKG)
HUNGARY (HUN)
ICELAND (ISL)
INDIA (IND)
INDONESIA (IDN)
IRAN (IRN)
IRAQ (IRQ)
IRELAND (IRL)
ISLE OF MAN (IMN)
ISRAEL (ISR)
ITALY (ITA)
JAMAICA (JAM)
JAPAN (JPN)
JERSEY (JEY)
JOHNSTON ISLAND (JTN)
JORDAN (JOR)
KAZAKHSTAN (KAZ)
KENYA (KEN)
KIRIBATI (KIR)
KOSOVO (KVV)
KUWAIT (KWT)
KYRGYZSTAN (KGZ)
LAOS (LAO)
LATVIA (LVA)
LEBANON (LBN)
LESOTHO (LSO)
LIBERIA (LBR)
LIBYA (LBY)
LIECHTENSTEIN (LIE)
LITHUANIA (LTU)
LUXEMBOURG (LUX)
MACAU (MAC)
MACEDONIA (MKD)
MADAGASCAR (MDG)
MALAWI (MWI)
MALAYSIA (MYS)
MALDIVES (MDV)
MALI (MLI)
MALTA (MLT)
MARSHALL ISLANDS (MHL)
MARTINIQUE (MTQ)
MAURITANIA (MRT)
MAURITIUS (MUS)
MAYOTTE (MYT)
MEXICO (MEX)
MICRONESIA - FEDERATED STATES OF (FSM)
MIDWAY ISLANDS (MID)
MOLDOVA (MDA)
MONACO (MCO)
MONGOLIA (MNG)
MONTENEGRO (MNE)
MONTSERRAT (MSR)
MOROCCO (MAR)
MOZAMBIQUE (MOZ)
MYANMAR (MMR)
NAMIBIA (NAM)
NAURU (NRU)
NEPAL (NPL)
NETHERLANDS (NLD)
NETHERLANDS ANTILLES (ANT)
NEUTRAL ZONE (NTZ)
NEW CALEDONIA (NCL)
NEW ZEALAND (NZL)
NICARAGUA (NIC)
NIGER (NER)
NIGERIA (NGA)
NIUE (NIU)
NORFOLK ISLAND (NFK)
NORTH KOREA (PRK)
NORTHERN MARIANA ISLANDS (MNP)
NORWAY (NOR)
OMAN (OMN)
PAKISTAN (PAK)
PALAU (PLW)
PALESTINIAN TERRITORIES (PSE)
PANAMA (PAN)
PAPUA NEW GUINEA (PNG)
PARAGUAY (PRY)
PERU (PER)
PHILIPPINES (PHL)
PITCAIRN ISLANDS (PCN)
POLAND (POL)
PORTUGAL (PRT)
PUERTO RICO (PRI)
QATAR (QAT)
REUNION (REU)
ROMANIA (ROM)
RUSSIA (RUS)
RWANDA (RWA)
SAINT BARTHELEMY (BLM)
SAINT KITTS AND NEVIS (KNA)
SAINT LUCIA (LCA)
SAINT MARTIN (FRENCH PART) (MAF)
SAINT VINCENT AND THE GRENADINES (VCT)
SAMOA (WSM)
SAN MARINO (SMR)
SAO TOME AND PRINCIPE (STP)
SAUDI ARABIA (SAU)
SENEGAL (SEN)
SERBIA (SRB)
SERBIA AND MONTENEGRO (SCG)
SEYCHELLES (SYC)
SIERRA LEONE (SLE)
SINGAPORE (SGP)
SINT MAARTEN (DUTCH PART) (SXM)
SLOVAKIA (SVK)
SLOVENIA (SVN)
SOLOMON ISLANDS (SLB)
SOMALIA (SOM)
SOUTH AFRICA (ZAF)
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS (SGS)
SOUTH KOREA (KOR)
SOUTH SUDAN (SSD)
SPAIN (ESP)
SRI LANKA (LKA)
ST. HELENA (SHN)
ST. PIERRE AND MIQUELON (SPM)
SUDAN (SDN)
SURINAME (SUR)
SVALBARD AND JAN MAYEN ISLANDS (SJM)
SWAZILAND (SWZ)
SWEDEN (SWE)
SWITZERLAND (CHE)
SYRIA (SYR)
TAIWAN (TWN)
TAJIKISTAN (TJK)
TANZANIA (TZA)
THAILAND (THA)
TIMOR-LESTE (TLS)
TOGO (TGO)
TOKELAU (TKL)
TONGA (TON)
TRINIDAD AND TOBAGO (TTO)
TUNISIA (TUN)
TURKEY (TUR)
TURKMENISTAN (TKM)
TURKS AND CAICOS ISLANDS (TCA)
TUVALU (TUV)
UGANDA (UGA)
UKRAINE (UKR)
UNITED ARAB EMIRATES (ARE)
UNITED KINGDOM (GBR)
UNITED STATES (USA)
UNITED STATES MINOR OUTLYING ISLANDS (UMI)
URUGUAY (URY)
UZBEKISTAN (UZB)
VANUATU (VUT)
VATICAN CITY STATE (HOLY SEE) (VAT)
VENEZUELA (VEN)
VIETNAM (VNM)
VIRGIN ISLANDS (BRITISH) (VGB)
VIRGIN ISLANDS (U.S.) (VIR)
WAKE ISLAND (WAK)
WALLIS AND FUTUNA ISLANDS (WLF)
WESTERN SAHARA (ESH)
YEMEN (YEM)
ZAIRE (ZAR)
ZAMBIA (ZMB)
ZIMBABWE (ZWE)
UPLOAD YOUR PASSPORT
*
Upload an IMAGE OF YOUR PASSPORT. For accurate results, make sure the MRZ fits the full width of the photo and the photo is not blurry. File types that can only be uploaded are gif, png, jpg, and jpeg.
Accepted file types: gif, png, jpg, jpeg, Max. file size: 8 MB.
Passport data
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.
Country of Citizenship
*
ANDORRA (AND)
AUSTRALIA (AUS)
AUSTRIA (AUT)
BELGIUM (BEL)
BRUNEI (BRN)
CHILE (CHL)
CROATIA (HRV)
CZECH REPUBLIC (CZE)
DENMARK (DNK)
ESTONIA (EST)
FINLAND (FIN)
FRANCE (FRA)
GERMANY (DEU)
GREECE (GRC)
HUNGARY (HUN)
ICELAND (ISL)
IRELAND (IRL)
ITALY (ITA)
JAPAN (JPN)
LATVIA (LVA)
LIECHTENSTEIN (LIE)
LITHUANIA (LTU)
LUXEMBOURG (LUX)
MALTA (MLT)
MONACO (MCO)
NETHERLANDS (NLD)
NEW ZEALAND (NZL)
NORWAY (NOR)
POLAND (POL)
PORTUGAL (PRT)
SAN MARINO (SMR)
SINGAPORE (SGP)
SLOVAKIA (SVK)
SLOVENIA (SVN)
SOUTH KOREA (KOR)
SPAIN (ESP)
SWEDEN (SWE)
SWITZERLAND (CHE)
TAIWAN (TWN)
UK - BRITISH CITIZEN (GBR)
UK - BRITISH DTC (GBD)
UK - BRITISH NATIONAL (O) (GBN)
UK - BRITISH OVERSEAS (GBO)
UK - BRITISH SUBJECT (GBS)
UK - PROTECTED PERSON (GBP)
Choose the country of citizenship, as it appears on your passport.
Passport issuing Country
*
ANDORRA (AND)
AUSTRALIA (AUS)
AUSTRIA (AUT)
BELGIUM (BEL)
BRUNEI (BRN)
CHILE (CHL)
CROATIA (HRV)
CZECH REPUBLIC (CZE)
DENMARK (DNK)
ESTONIA (EST)
FINLAND (FIN)
FRANCE (FRA)
GERMANY (DEU)
GREECE (GRC)
HUNGARY (HUN)
ICELAND (ISL)
IRELAND (IRL)
ITALY (ITA)
JAPAN (JPN)
LATVIA (LVA)
LIECHTENSTEIN (LIE)
LITHUANIA (LTU)
LUXEMBOURG (LUX)
MALTA (MLT)
MONACO (MCO)
NETHERLANDS (NLD)
NEW ZEALAND (NZL)
NORWAY (NOR)
POLAND (POL)
PORTUGAL (PRT)
SAN MARINO (SMR)
SINGAPORE (SGP)
SLOVAKIA (SVK)
SLOVENIA (SVN)
SOUTH KOREA (KOR)
SPAIN (ESP)
SWEDEN (SWE)
SWITZERLAND (CHE)
TAIWAN (TWN)
UK - BRITISH CITIZEN (GBR)
UK - BRITISH DTC (GBD)
UK - BRITISH NATIONAL (O) (GBN)
UK - BRITISH OVERSEAS (GBO)
UK - BRITISH SUBJECT (GBS)
UK - PROTECTED PERSON (GBP)
Choose the country that issued the passport.
National Identification Number
*
Enter the number on your identity document, other than a passport, issued by your country. If you do not have a National Identification Number, enter UNKNOWN.
Personal Identification Number
*
Enter your personal identification number as it appears on your passport. The personal identification number starts with an English letter followed by 9 numbers.
Passport issue date
*
DD slash MM slash YYYY
Select the day, month and year of the Issue Date as it appears on your passport.
Passport expiration date
*
DD slash MM slash YYYY
Select the day, month and year of the Expiry Date as it appears on your passport.
NOTE: With respect to all references to "country" or "countries" in this document, it should be noted that the Taiwan Relations Act of 1979, Pub. L. No. 96-8, Section 4(b)(1), provides that "[w]henever the laws of the United States refer or relate to foreign countries, nations, states, governments, or similar entities, such terms shall include and such laws shall apply with respect to Taiwan." 22 U.S.C. § 3303(b)(1). Accordingly, all references to "country" or "countries" in the Visa Waiver Program authorizing legislation, Section 217 of the Immigration and Nationality Act, 8 U.S.C. 1187, are read to include Taiwan. This is consistent with the United States' one-China policy, under which the United States has maintained unofficial relations with Taiwan since 1979.
Other Citizenship/Nationality
Are you currently a citizen or national of any other country?
*
No
Yes
If Yes, indicate the country first, then indicate how you acquired the citizenship/nationality.
Other Citizenship/Nationality
*
Country of Citizenship / Nationality
How did you acquire citizenship / nationality from this country?
Add
Remove
Fill in all the boxes with the data required to make the entry valid:
Enter the
Country of citizenship / nationality
Indicate how
You acquired citizenship / nationality
, you can choose between:
By birth
By right of blood
Naturalized
or enter other information explaining how you acquired it
Add a line for each citizenship / nationality
Have you ever been issued a passport or national identity card for travel by any other country?
*
No
Yes
Select Yes or No to indicate whether the traveller has one or more passports or one or more identity cards issued by another country. It is possible to insert all the documents issued by another country in the possession of the applicant, even those that have expired.
Other documents
*
Issuing Country
Document Type
Document Number
Expiration Year
Add
Remove
Fill in all the boxes with the data required to make the entry valid:
Issuing country
indicates the country where the passport was issued
Type of document
i.e. passport or identity card
Document Number
enter it as it appears on the document. It may contain numbers and / or letters. Pay attention to the difference between the number 0 and the letter O
Enter the
Expiry year
as it appears on the document, whether it is expired or valid
If one of these documents was issued in another country, but you do not remember your passport or national identity card number and the year of expiry, answer "UNKNOWN" in the Document Number field and four zeros "0000" in the Expiration Year field.
Add a line for each travel document.
Are you known by any other names or aliases?
*
No
Yes
Indicate whether you are known by any other names or aliases by selecting yes or no.
Other names or aliases
*
First name
Last name
Add
Remove
Fill in all the boxes with the data required to make the entry valid:
In the First Name field, enter your alternate first name.
Do not include the middle name in this field.
If you have no alternate first name, then enter the letters FNU which stands for First Name Unknown.
In the Last Name field, enter your alternate family name.
Add a line for each name or alias.
Have you ever been a citizen or national of any other country?
*
No
Yes
Select Yes or No to indicate whether the traveller was a citizen of another country in the past. It is possible to enter all citizenships / nationalities obtained in the past indicating the period.
Other citizenship / nationality
*
Country of Citizenship / Nationality
From
To
Add
Remove
Fill in all the boxes with the data required to make the entry valid:
Enter the
Country of citizenship / nationality
Enter the
Start date
on which you obtained citizenship / nationality, in the format "DD / MM / YYYY"
Enter the
End date
in which you notified your citizenship / nationality, in the format "DD / MM / YYYY"
Add a line for each citizenship / nationality
Traveller Contact Information
Enter the traveller's home address or the address where they can be contacted or receive communications
Home / contact address
*
Address Line 1
Address Line 2
City
State/Province/Region
Country
*
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Type of telephone number (optional)
Home
Work
Mobile
Other
Country Code
*
Afghanistan +93
Albania +355
Algeria +213
American Samoa +1684
Andorra +376
Angola +244
Anguilla +1264
Antarctica +672
Antigua and Barbuda +1268
Argentina +54
Armenia +374
Aruba +297
Australia +61
Austria +43
Azerbaijan +994
Bahamas +1242
Bahrain +973
Bangladesh +880
Barbados +1246
Belarus +375
Belgium +32
Belize +501
Benin +229
Bermuda +1441
Bhutan +975
Bolivia +591
Bosnia and Herzegovina +387
Botswana +267
Brazil +55
British Indian Ocean Territory +246
British Virgin Islands +1284
Brunei +673
Bulgaria +359
Burkina Faso +226
Burundi +257
Cambodia +855
Cameroon +237
Canada +1
Cape Verde +238
Cayman Islands +1345
Central African Republic +236
Chad +235
Chile +56
China +86
Christmas Island +61
Cocos Islands +61
Colombia +57
Comoros +269
Cook Islands +682
Costa Rica +506
Croatia +385
Cuba +53
Curacao +599
Cyprus +357
Czech Republic +420
Democratic Republic of the Congo +243
Denmark +45
Djibouti +253
Dominica +1767
Dominican Republic +1809
Dominican Republic +1829
Dominican Republic +1849
East Timor +670
Ecuador +593
Egypt +20
El Salvador +503
Equatorial Guinea +240
Eritrea +291
Estonia +372
Ethiopia +251
Falkland Islands +500
Faroe Islands +298
Fiji +679
Finland +358
France +33
French Polynesia +689
Gabon +241
Gambia +220
Georgia +995
Germany +49
Ghana +233
Gibraltar +350
Greece +30
Greenland +299
Grenada +1473
Guam +1671
Guatemala +502
Guernsey +441481
Guinea +224
Guinea-Bissau +245
Guyana +592
Haiti +509
Honduras +504
Hong Kong +852
Hungary +36
Iceland +354
India +91
Indonesia +62
Iran +98
Iraq +964
Ireland +353
Isle of Man +441624
Israel +972
Italy +39
Ivory Coast +225
Jamaica +1876
Japan +81
Jersey +441534
Jordan +962
Kazakhstan +7
Kenya +254
Kiribati +686
Kosovo +383
Kuwait +965
Kyrgyzstan +996
Laos +856
Latvia +371
Lebanon +961
Lesotho +266
Liberia +231
Libya +218
Liechtenstein +423
Lithuania +370
Luxembourg +352
Macau +853
Macedonia +389
Madagascar +261
Malawi +265
Malaysia +60
Maldives +960
Mali +223
Malta +356
Marshall Islands +692
Mauritania +222
Mauritius +230
Mayotte +262
Mexico +52
Micronesia +691
Moldova +373
Monaco +377
Mongolia +976
Montenegro +382
Montserrat +1664
Morocco +212
Mozambique +258
Myanmar +95
Namibia +264
Nauru +674
Nepal +977
Netherlands +31
Netherlands Antilles +599
New Caledonia +687
New Zealand +64
Nicaragua +505
Niger +227
Nigeria +234
Niue +683
North Korea +850
Northern Mariana Islands +1670
Norway +47
Oman +968
Pakistan +92
Palau +680
Palestine +970
Panama +507
Papua New Guinea +675
Paraguay +595
Peru +51
Philippines +63
Pitcairn +64
Poland +48
Portugal +351
Puerto Rico +1787
Puerto Rico +1939
Qatar +974
Republic of the Congo +242
Reunion +262
Romania +40
Russia +7
Rwanda +250
Saint Barthelemy +590
Saint Helena +290
Saint Kitts and Nevis +1869
Saint Lucia +1758
Saint Martin +590
Saint Pierre and Miquelon +508
Saint Vincent and the Grenadines +1784
Samoa +685
San Marino +378
Sao Tome and Principe +239
Saudi Arabia +966
Senegal +221
Serbia +381
Seychelles +248
Sierra Leone +232
Singapore +65
Sint Maarten +1721
Slovakia +421
Slovenia +386
Solomon Islands +677
Somalia +252
South Africa +27
South Korea +82
South Sudan +211
Spain +34
Sri Lanka +94
Sudan +249
Suriname +597
Svalbard and Jan Mayen +47
Swaziland +268
Sweden +46
Switzerland +41
Syria +963
Taiwan +886
Tajikistan +992
Tanzania +255
Thailand +66
Togo +228
Tokelau +690
Tonga +676
Trinidad and Tobago +1868
Tunisia +216
Turkey +90
Turkmenistan +993
Turks and Caicos Islands +1649
Tuvalu +688
U.S. Virgin Islands +1340
Uganda +256
Ukraine +380
United Arab Emirates +971
United Kingdom +44
United States +1
Uruguay +598
Uzbekistan +998
Vanuatu +678
Vatican +379
Venezuela +58
Vietnam +84
Wallis and Futuna +681
Western Sahara +212
Yemen +967
Zambia +260
Zimbabwe +263
In the Country Code field, select the international prefix of the telephone number where the traveller can be contacted.
Telephone number
*
Indicate a traveller's telephone number. If you do not have a telephone number, you can provide the Telephone number to any contact person (for example, a family member, friend or colleague).
E-mail Address
*
Enter Email
Confirm Email
Enter the email address at which you can be contacted. If you do not have an email address, you may provide an alternative third-party email address belonging to a point of contact (e.g. a family member, friend or business associate.)
Social media (optional)
Enter information associated with your online presence, including the types of online platforms, applications and websites that you use to collaborate, share information, and interact with others, as well as the username(s) associated with those accounts.
Do you want to add your social media details?
No
Yes
Social media information
Provider / Platform
Username / Profile Link / Social Account ID
Add
Remove
Fill in all the boxes with the data required to make the entry valid:
In the
Provider / Platform
field, enter the name of the social media
In the field
Username / Profile link / Social account ID
enter an identifier to find the applicant on the indicated social network
Add a row for each social
Global Entry Membership
Are you a member of the CBP Global Entry Program?
*
No
Yes
PASSID / Membership Number
*
The Membership Number is exactly nine digits. It is labeled as Membership Number / PASSID and can be found by logging into your TTP account.
Parents
Enter the surname and name of the parent or guardian: In the Last name field, enter their last name. If the parent's last name is unknown, write "UNKNOWN" In the First name field, enter their first name. If the parent's last name is unknown, write "UNKNOWN" You can enter the last name and first name of the natural parent, adoptive parent or legal guardian of the applicant.
Parents
*
First name
Last name
Parents
*
First name
Last name
Employment information
Indicate whether you have a current or previous employer
Do you have a current or previous employer?
*
No
Yes
Job Title (optional)
Enter the job title of your current or previous employment.
Employer Name
*
Depending on the traveller you can:
Enter surname and name of the employer (the company or organization where he is employed), current or last, of the traveler
Enter a
Definition that describes the current work situation of the traveler
such as: "FREELANCE", "STUDENT", "MINOR", "HOUSEWIFE", "UNEMPLOYED PARENT"
Address of the employer
*
Address Line 1
Address Line 2
City
State/Province/Region
Enter the traveller's employer address:
In the Address Line 1 field, enter the name of the street and the house number of your home. If the employer's address is unknown, type "UNKNOWN"
In the field Second line for address enter, if necessary, the staircase, the floor, the extension number or other if necessary.
In the field Enter the City, town, village, or fraction of the domicile. If the employer's address is unknown, type "UNKNOWN"
In the Province field, enter the province of your domicile. If the employer's address is unknown, type "UNKNOWN"
Country
*
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
In the Country field, enter the country of the employer's domicile (the company or organization where you are employed)
Country Code
*
Afghanistan +93
Albania +355
Algeria +213
American Samoa +1684
Andorra +376
Angola +244
Anguilla +1264
Antarctica +672
Antigua and Barbuda +1268
Argentina +54
Armenia +374
Aruba +297
Australia +61
Austria +43
Azerbaijan +994
Bahamas +1242
Bahrain +973
Bangladesh +880
Barbados +1246
Belarus +375
Belgium +32
Belize +501
Benin +229
Bermuda +1441
Bhutan +975
Bolivia +591
Bosnia and Herzegovina +387
Botswana +267
Brazil +55
British Indian Ocean Territory +246
British Virgin Islands +1284
Brunei +673
Bulgaria +359
Burkina Faso +226
Burundi +257
Cambodia +855
Cameroon +237
Canada +1
Cape Verde +238
Cayman Islands +1345
Central African Republic +236
Chad +235
Chile +56
China +86
Christmas Island +61
Cocos Islands +61
Colombia +57
Comoros +269
Cook Islands +682
Costa Rica +506
Croatia +385
Cuba +53
Curacao +599
Cyprus +357
Czech Republic +420
Democratic Republic of the Congo +243
Denmark +45
Djibouti +253
Dominica +1767
Dominican Republic +1809
Dominican Republic +1829
Dominican Republic +1849
East Timor +670
Ecuador +593
Egypt +20
El Salvador +503
Equatorial Guinea +240
Eritrea +291
Estonia +372
Ethiopia +251
Falkland Islands +500
Faroe Islands +298
Fiji +679
Finland +358
France +33
French Polynesia +689
Gabon +241
Gambia +220
Georgia +995
Germany +49
Ghana +233
Gibraltar +350
Greece +30
Greenland +299
Grenada +1473
Guam +1671
Guatemala +502
Guernsey +441481
Guinea +224
Guinea-Bissau +245
Guyana +592
Haiti +509
Honduras +504
Hong Kong +852
Hungary +36
Iceland +354
India +91
Indonesia +62
Iran +98
Iraq +964
Ireland +353
Isle of Man +441624
Israel +972
Italy +39
Ivory Coast +225
Jamaica +1876
Japan +81
Jersey +441534
Jordan +962
Kazakhstan +7
Kenya +254
Kiribati +686
Kosovo +383
Kuwait +965
Kyrgyzstan +996
Laos +856
Latvia +371
Lebanon +961
Lesotho +266
Liberia +231
Libya +218
Liechtenstein +423
Lithuania +370
Luxembourg +352
Macau +853
Macedonia +389
Madagascar +261
Malawi +265
Malaysia +60
Maldives +960
Mali +223
Malta +356
Marshall Islands +692
Mauritania +222
Mauritius +230
Mayotte +262
Mexico +52
Micronesia +691
Moldova +373
Monaco +377
Mongolia +976
Montenegro +382
Montserrat +1664
Morocco +212
Mozambique +258
Myanmar +95
Namibia +264
Nauru +674
Nepal +977
Netherlands +31
Netherlands Antilles +599
New Caledonia +687
New Zealand +64
Nicaragua +505
Niger +227
Nigeria +234
Niue +683
North Korea +850
Northern Mariana Islands +1670
Norway +47
Oman +968
Pakistan +92
Palau +680
Palestine +970
Panama +507
Papua New Guinea +675
Paraguay +595
Peru +51
Philippines +63
Pitcairn +64
Poland +48
Portugal +351
Puerto Rico +1787
Puerto Rico +1939
Qatar +974
Republic of the Congo +242
Reunion +262
Romania +40
Russia +7
Rwanda +250
Saint Barthelemy +590
Saint Helena +290
Saint Kitts and Nevis +1869
Saint Lucia +1758
Saint Martin +590
Saint Pierre and Miquelon +508
Saint Vincent and the Grenadines +1784
Samoa +685
San Marino +378
Sao Tome and Principe +239
Saudi Arabia +966
Senegal +221
Serbia +381
Seychelles +248
Sierra Leone +232
Singapore +65
Sint Maarten +1721
Slovakia +421
Slovenia +386
Solomon Islands +677
Somalia +252
South Africa +27
South Korea +82
South Sudan +211
Spain +34
Sri Lanka +94
Sudan +249
Suriname +597
Svalbard and Jan Mayen +47
Swaziland +268
Sweden +46
Switzerland +41
Syria +963
Taiwan +886
Tajikistan +992
Tanzania +255
Thailand +66
Togo +228
Tokelau +690
Tonga +676
Trinidad and Tobago +1868
Tunisia +216
Turkey +90
Turkmenistan +993
Turks and Caicos Islands +1649
Tuvalu +688
U.S. Virgin Islands +1340
Uganda +256
Ukraine +380
United Arab Emirates +971
United Kingdom +44
United States +1
Uruguay +598
Uzbekistan +998
Vanuatu +678
Vatican +379
Venezuela +58
Vietnam +84
Wallis and Futuna +681
Western Sahara +212
Yemen +967
Zambia +260
Zimbabwe +263
In the Country Code field, select the international prefix of the telephone number where you can contact your employer.
Telephone number
*
Enter a Telephone number where you can contact the employer.
Travel information
Please provide all responses in English
Is your travel to the US occurring in transit to another country?
*
No
Yes
Select Yes or No to indicate whether the traveler's entry into the United States is for transit only to a different destination.
Are you aware of a point of contact within the United States and where will you be staying?
*
No
Yes
U.S. Point of contact information
You can indicate as a contact:
A person
(for example, a family member, friend or colleague)
A hotel or non-hotel facility
If you are traveling on the road, enter only the data of the first point of contact.
Contact in the United States
*
First name and Last name of contact person / Name of the hotel or non-hotel facility
Contact address in the United States
*
Address Line 1
Address Line 2
City
Enter the traveller's contact address:
Address Line 1 field, enter the name of the street and the house number. If unknown, type "UNKNOWN"
In the Second line for address field enter, if necessary, the floor, the apartment's internal number or other if necessary. If unknown, type "UNKNOWN"
In the City field enter the City. If unknown, type "UNKNOWN"
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
In the State field, select the State.
Telephone number
*
Provide a Phone Number for contact in the United States.
Address while in the U.S.
Address while in the U.S. (optional)
It declares that the traveller's US residence address is the same as the US contact address entered previously
Address Line 1
Address Line 2
City
Enter the traveller's US residence address:
Address Line 1 field, enter the name of the street and the house number. If unknown, type "UNKNOWN"
In the Second line for address field enter, if necessary, the floor, the apartment's internal number or other if necessary. If unknown, type "UNKNOWN"
In the City field enter the City. If unknown, type "UNKNOWN"
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
In the State field, select the State
Emergency contact information in or out of the U.S.
Can you provide the details of an emergency contact outside the United States?
*
No
Yes
Last name and first name of the emergency contact
*
First name
Last name
Enter the last name and first name of the emergency contact:
In the last name field, enter the surname of the emergency contact, who may reside in your country or in another country, such as a family member, friend or colleague.
In the name field, enter the name of the emergency contact, who may be based in your country or in another country, such as a family member, friend or colleague.
Country Code
*
-
Afghanistan +93
Albania +355
Algeria +213
American Samoa +1684
Andorra +376
Angola +244
Anguilla +1264
Antarctica +672
Antigua and Barbuda +1268
Argentina +54
Armenia +374
Aruba +297
Australia +61
Austria +43
Azerbaijan +994
Bahamas +1242
Bahrain +973
Bangladesh +880
Barbados +1246
Belarus +375
Belgium +32
Belize +501
Benin +229
Bermuda +1441
Bhutan +975
Bolivia +591
Bosnia and Herzegovina +387
Botswana +267
Brazil +55
British Indian Ocean Territory +246
British Virgin Islands +1284
Brunei +673
Bulgaria +359
Burkina Faso +226
Burundi +257
Cambodia +855
Cameroon +237
Canada +1
Cape Verde +238
Cayman Islands +1345
Central African Republic +236
Chad +235
Chile +56
China +86
Christmas Island +61
Cocos Islands +61
Colombia +57
Comoros +269
Cook Islands +682
Costa Rica +506
Croatia +385
Cuba +53
Curacao +599
Cyprus +357
Czech Republic +420
Democratic Republic of the Congo +243
Denmark +45
Djibouti +253
Dominica +1767
Dominican Republic +1809
Dominican Republic +1829
Dominican Republic +1849
East Timor +670
Ecuador +593
Egypt +20
El Salvador +503
Equatorial Guinea +240
Eritrea +291
Estonia +372
Ethiopia +251
Falkland Islands +500
Faroe Islands +298
Fiji +679
Finland +358
France +33
French Polynesia +689
Gabon +241
Gambia +220
Georgia +995
Germany +49
Ghana +233
Gibraltar +350
Greece +30
Greenland +299
Grenada +1473
Guam +1671
Guatemala +502
Guernsey +441481
Guinea +224
Guinea-Bissau +245
Guyana +592
Haiti +509
Honduras +504
Hong Kong +852
Hungary +36
Iceland +354
India +91
Indonesia +62
Iran +98
Iraq +964
Ireland +353
Isle of Man +441624
Israel +972
Italy +39
Ivory Coast +225
Jamaica +1876
Japan +81
Jersey +441534
Jordan +962
Kazakhstan +7
Kenya +254
Kiribati +686
Kosovo +383
Kuwait +965
Kyrgyzstan +996
Laos +856
Latvia +371
Lebanon +961
Lesotho +266
Liberia +231
Libya +218
Liechtenstein +423
Lithuania +370
Luxembourg +352
Macau +853
Macedonia +389
Madagascar +261
Malawi +265
Malaysia +60
Maldives +960
Mali +223
Malta +356
Marshall Islands +692
Mauritania +222
Mauritius +230
Mayotte +262
Mexico +52
Micronesia +691
Moldova +373
Monaco +377
Mongolia +976
Montenegro +382
Montserrat +1664
Morocco +212
Mozambique +258
Myanmar +95
Namibia +264
Nauru +674
Nepal +977
Netherlands +31
Netherlands Antilles +599
New Caledonia +687
New Zealand +64
Nicaragua +505
Niger +227
Nigeria +234
Niue +683
North Korea +850
Northern Mariana Islands +1670
Norway +47
Oman +968
Pakistan +92
Palau +680
Palestine +970
Panama +507
Papua New Guinea +675
Paraguay +595
Peru +51
Philippines +63
Pitcairn +64
Poland +48
Portugal +351
Puerto Rico +1787
Puerto Rico +1939
Qatar +974
Republic of the Congo +242
Reunion +262
Romania +40
Russia +7
Rwanda +250
Saint Barthelemy +590
Saint Helena +290
Saint Kitts and Nevis +1869
Saint Lucia +1758
Saint Martin +590
Saint Pierre and Miquelon +508
Saint Vincent and the Grenadines +1784
Samoa +685
San Marino +378
Sao Tome and Principe +239
Saudi Arabia +966
Senegal +221
Serbia +381
Seychelles +248
Sierra Leone +232
Singapore +65
Sint Maarten +1721
Slovakia +421
Slovenia +386
Solomon Islands +677
Somalia +252
South Africa +27
South Korea +82
South Sudan +211
Spain +34
Sri Lanka +94
Sudan +249
Suriname +597
Svalbard and Jan Mayen +47
Swaziland +268
Sweden +46
Switzerland +41
Syria +963
Taiwan +886
Tajikistan +992
Tanzania +255
Thailand +66
Togo +228
Tokelau +690
Tonga +676
Trinidad and Tobago +1868
Tunisia +216
Turkey +90
Turkmenistan +993
Turks and Caicos Islands +1649
Tuvalu +688
U.S. Virgin Islands +1340
Uganda +256
Ukraine +380
United Arab Emirates +971
United Kingdom +44
United States +1
Uruguay +598
Uzbekistan +998
Vanuatu +678
Vatican +379
Venezuela +58
Vietnam +84
Wallis and Futuna +681
Western Sahara +212
Yemen +967
Zambia +260
Zimbabwe +263
In the Country Code field, select the international prefix for the emergency contact's phone number.
Telephone number
*
Indicates an emergency contact telephone number.
Email address (optional)
Enter the Email address of the emergency contact.
Eligibility questions
1) 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 (communicable diseases are specified pursuant to section 361(b) of the Public Health Service Act): - 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.
*
No
Yes
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?
*
No
Yes
3) Have you ever violated any law related to possessing, using, or distributing illegal drugs?
*
No
Yes
4) Do you seek to engage in or have you ever engaged in terrorist activities, espionage, sabotage, or genocide?
*
No
Yes
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?
*
No
Yes
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?
*
No
Yes
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?
*
No
Yes
When
*
Where
*
8) Have you ever stayed in the United States longer than the admission period granted to you by the U.S. government?
*
No
Yes
9) Have you traveled to, or been present in North Korea, Cuba, Iraq, Syria, Iran, Sudan, Libya, Somalia or Yemen on or after March 1, 2011?
*
No
Yes
Stay details
*
Country
From month and year
Per month and year
Main reason
Add
Remove
Fill in all the boxes with the data required to make the entry valid:
Enter the Country where you stayed Indicate how, you can choose between one of the countries indicated in the application.
Enter From what month and year did you stay in one of the listed countries, in the format "MM / YYYY"
Enter up to
What month and year
(after March 1, 2011) did you stay in one of the listed countries, in the format "MM / YYYY"
Enter the Primary Reason why you stayed in one of the following countries, you can choose between:
Tourist travel (vacation)
Personal reasons or reasons for visiting family (also visits related to emergency situations)
Commercial / business purposes
Official positions as a full-time government representative of a country eligible for the Visa Waiver Program
Military service in the Armed Forces of one of the countries eligible for the Visa Waiver Program
Journalistic service
Humanitarian assistance on behalf of a humanitarian or international non-governmental organization
Official functions on behalf of an international or regional organization (multilateral or intergovernmental)
Official functions on behalf of administrations or subnational entities of a VWP Eligible Country
To attend an academic institution
Participation in a professional exchange or conference
Participation in cultural exchange programs
Other
Add a line for each stay in one of these countries.
General conditions
*
By checking this box you confirm that you have read, understood and accepted the
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