E.S.T.A USA (EN) – Mega Forms

Country of citizenship/nationality

How did you acquire citizenship/nationality of this country ?

Other

Country of citizenship/nationality

From

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

Address e-mail

Confirm email address

Additional Information

Have you ever had a passport or national identity card issued to you by another country to travel?
YesNo

Issuing country

Document type

Document number

Expiry year

Your home address

Address (street number and name) *

City *

Region or department *

Country *

Phone type *

Country code *

(+33 for France, +32 for Belgium, +41 for Switzerland, ...)

Phone number *

Parents

Surname *

First name(s) *

Surname *

First name(s) *

Employment Information

Name of employer *

Street number and name *

Town *

Region or Department *

Country *

Trip Information

US Contact Point Details

Name *

Address (street number and name) *

City *

State *

Country code *

Phone number. *

Emergency Contact Information In Or Outside The United States

Surname *

First name(s) *

E-mail address *

Country Code *

(+49 Germany, 32 for Belgium, +41 for Switzerland,...)

Phone number. *

Do you have a copy of your passport to download?

In order to obtain your approved ESTA, you will need to email a copy of your passport.You will receive instructions after finalizing your file. Check your inbox for this purpose.

Eligibility Questions

Do you suffer from a physical or mental illness, are you a drug addict or chronic drug addict or do you suffer from any of the following illnesses : Chancroid, Gonorrhea, Granuloma inguinale, Infectious leprosy, Lymphogranuloma venereum, Infectious syphilis, Active tuberculosis? :
YesNo

Have you been arrested or convicted of an offense that caused serious property damage or serious harm to another person or government authority ?
YesNo

Have you ever violated any law in connection with the possession, use or trafficking of illegal drugs ?
YesNo

Do you intend to participate or have you participated in terrorist activities, espionage, sabotage or genocide ?
YesNo

Have you ever committed fraud or misrepresented yourself or others to obtain or assist others in obtaining a U.S. visa or entry ?
YesNo

Are you currently seeking employment in the United States or have you worked in the United States in the past without obtaining prior permission from the U.S. government ?
YesNo

Official ESTA application

Applicant Data

Other Citizenship/Nationality

Additional Information

Your home address

Parents

Employment Information

Trip Information

US Contact Point Details

Emergency Contact Information In Or Outside The United States

Do you have a copy of your passport to download?

Eligibility Questions