Electronic System for Travel Authorization (ESTA)

Arrival and Departure Record

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Electronic System for Travel Authorization (ESTA)

OMB: 1651-0111

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Welcome to ESTA - the Official U.S. Government Web Site


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Welcome to the Electronic System for Travel Authorization Web Site.

 

International travelers who are seeking to travel to the United States under the Visa Waiver Program are now subject to enhanced security requirements. All eligible travelers who wish to travel under the Visa Waiver Program must apply for authorization using the following process:

 

 

Please refer to the Help link at the top of each Web page if you have questions.

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



Apply for an Authorization to Travel to the United States


Select this option if:

  • You are a citizen or eligible national of a Visa Waiver Program country.

  • You are currently not in possession of a visitor's visa.

  • Your travel is for 90 days or less.

  • You plan to travel to the United States for business or pleasure.

Which countries participate in the Visa Waiver Program?

What information do I need to complete the application?

What are the passport requirements for travel under the Visa Waiver Program?



Update or Check the Status of a Previously Submitted Authorization to Travel to the United States


Select this option if:

  • You previously submitted an application for an electronic travel authorization and you want to perform one of the following:

    • Determine the status of your travel authorization application.

    • Update your travel authorization application.

What information can I update?

Please provide the following information about your application:

Application Number *

Enter the application number that was assigned to your application by the system when you applied for your travel authorization. The application number is required to update or check the status of your application.


Birth Date

Day *

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.

Month *

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.

Year *

Choose the year in which you were born. The year of birth is required to complete the application or to check the status of your application.


Passport Number *

Enter your passport number as it appears on your passport. The passport number is required to complete the application or to check the status of your application.




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For inquiries or questions regarding this application, please click here.



 



Paperwork Reduction Act Statement: an agency may not conduct or sponsor an information collection and a person is not required to respond to this information unless it displays a current valid OMB control number. The control number for this collection is 1651-0111. The estimated average time to complete this submission is 15 minutes per respondent. If you have any comments regarding the burden estimate you can write to U.S. Customs and Border Protection, 1300 Pennsylvania Avenue, Room 3.2.C., Washington DC 20229. Exp. 04-30-2010



 



Privacy Statement  |  www.cbp.gov/travel


Disclaimer


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 United States 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 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:

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Yes, I have read and understand the information.

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

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For inquiries or questions regarding this application, please click here.

Application

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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 countries listed in 8 CFR 217.2 . 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

Family Name *

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.


 

First (Given) Name *

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. 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

Day *

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.

Month *

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.

Year *

Choose the year in which you were born. The year of birth is required to complete the application or to check the status of your application.



Sex (Male/Female) *

Choose your gender, either male or female. The sex (gender) is required to complete the application.


Male   Female

Country where you live *

Choose the country in which you reside. The country where you live is required to complete the application.


E-Mail Address

Enter the e-mail address at which you can be contacted. The e-mail address is optional to complete the application.


Telephone Number

Country Code

>

Choose the country code of the telephone number where you can be contacted. The country code and telephone number are optional to complete the application.

Number

Telephone Number

Enter the telephone number where you may be contacted. The telephone number is optional to complete the application.



Passport Information

Passport Number *

Enter your passport number as it appears on your passport. The passport number is required to complete the application or to check the status of your application.


Passport Issuing Country
(Country of Citizenship)*

Choose the country of citizenship, as it appears on your passport. The passport issuing country is required to complete the application.


Passport Issuance Date

Day *

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.

Month *

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.

Year *

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.


Passport Expiration Date

Day *

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.

Month *

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.

Year *

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.


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Travel Information

City Where You are Boarding

Enter the last city where you will board an aircraft prior to arriving in the United States on this trip. The city where the applicant will board is optional to complete the application.


Carrier Information

Carrier Name

Choose the carrier name for the carrier on which you will be traveling to the United States, if your travel information is available. The carrier name is optional to complete the application.

Flight Number or Vessel Name

Enter the flight number or vessel name for the carrier on which you will be traveling to the United States, if your travel information is available. The flight number or vessel name is optional to complete the application.


Address While In The United States

Address Line 1

Enter the number and street of the location where you will stay while in the United States. Do not include the city and state in this field. The address 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. You may update this information once confirmed.

  • If you are leaving the United States immediately and do not have an address, enter the words ”In Transit” and your final destination location.  


Address Line 2

Enter apartment, suite, unit, floor, building, or other, if appropriate. Do not include the city and state in this field. Address line 2 is optional to complete the application.


City

Enter the city of the address where you will stay while in the United States. The city is optional to complete the application.


State

Enter the state of the address where you will stay while in the United States. The state is optional to complete the application.



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

Please select if you need additional help on any of these questions.


A) Do you have a communicable disease; physical or mental disorder; or are you a drug abuser or addict? *

 

Yes

 

No

B) Have you ever been arrested or convicted for an offense or crime involving moral turpitude or a violation related to a controlled substance; or have been arrested or convicted for two or more offenses for which the aggregate sentence to confinement was five years or more; or have been a controlled substance trafficker; or are you seeking entry to engage in criminal or immoral activities? *

 

Yes

 

No

C) Have you ever been or are you now involved in espionage or sabotage; or in terrorist activities; or genocide; or between 1933 and 1945 were you involved, in any way, in persecutions associated with Nazi Germany or its allies? *

 

Yes

 

No

D) Are you seeking to work in the U.S.; or have you ever been excluded and deported; or been previously removed from the United States or procured or attempted to procure a visa or entry into the U.S. by fraud or misrepresentation? *

 

Yes

 

No

E) Have you ever detained, retained or withheld custody of a child from a U.S. citizen granted custody of the child? *

 

Yes

 

No

F) Have you ever been denied a U.S. visa or entry into the U.S. or had a U.S. visa canceled? *

 

Yes

 

No

If yes:  when

where

G) Have you ever asserted immunity from prosecution? *

 

Yes

 

No



 

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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.



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Last Modified ByAuthorized User
File Modified2010-03-19
File Created2010-03-19

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