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Please use Microsoft Edge / Google Chrome / Safari / Mozilla Firefox. Details of compatible browser here

Enter applicant's information | ESTA Application Provide Site

ESTA Application Provide Site

ESTA Application Provide Site

Note: Input all items in English Please click ? for details on how to apply

Applicant information ?

SurnameRequired
Enter in English
Given nameRequired
Enter in English
Enter as it appears on your passport, including middle name.
Do you have any aliases? Required
Surname (alias)Required
Enter in English
Given name(alias)Required
Enter in English
Nationality Required
National Identification
Number
Personal Identification
Number
Any Required
Enter in English or numbers.
Enter in 10 digits English or numbers.
Enter the national identification number issued by your country other than the passport. Leave the field blank if unknown. Enter the single letter and 9-digit number in your passport.
Date of birth Required
Enter the correct date
GenderRequired

Contact Information ?

Email address Required
We will send you the results of your application by email. Please note that it may be sorted into your spam folder.
Email address confirm Required
To confirm,please put same email address.
Phone number Required
Phone Number is invalid
Select a number of your country. First number 0 will be omitted when registered.
Type of telephone Required

Home address ?

Country Required
Prefecture Required
Enter in English
Municipality Required
Enter in English or numbers
Street, numberRequired
Enter in English or numbers
Building nameAny
Enter in English or numbers
Unit number Any
Enter in English or numbers

Passport information ?

Upload passport ? Required
File size exceeds the 10MB limit Image does not correspond to jpg, jpeg, png, gif Upload the image of whole passport's facial photograph page (including machine read-able code)
Passport number Required
Error in the passport number
Passport date of issueRequired
Enter the correct date
Passport expiration dateRequired
Enter the correct date
The date of issue and expiration date of the passport are incorrect Select「Yes」to following questions if you hold revised passport/official passport.
Corrected passport /
Official passport Required
Passport from another
countryRequired
Have you ever been issued a passport from another country?
Issuing CountryRequired
Document TypeRequired
Document NumberRequired
Enter in English or numbers If you don't know your ID number, please answer "UNKNOWN".
Expiration YearRequired
Enter the correct date
If you don't know your Expiration Year, please answer "UNKNOWN".
Country of birth Required
City of birth Any
Enter in English
Enter state or city of your birth in English. If unknown, leave it blank.
Do you currently possess
any other nationality?Required
Country of Citizenship /
NationalityRequired
How did you acquire
citizenship / nationality
from this country?Required
Have you ever possessed
any other nationality?Required
Country of Citizenship /
NationalityRequired
Select past Citizenship / Nationality
Date of acquisition of
other nationality Required
Enter the correct date
Select the date you became a citizen.
Date of renunciation of
other nationality Required
Enter the correct date
Select the date you renounced your citizenship.
Are you a member of
GE/NEXUS/SENTRI?Required
Are you a member of the CBP Global Entry/NEXUS/SENTRI Program? If you do not know, please choose "No".
PASS ID Required
Enter a 9 digit number
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