Applicant 1

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Applicant Details

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Passport Details

Refer to your passport and enter all information in the same format. Sample Passport - Detailed View


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Parents Informations

Your Contact Information

GE/NEXUS/SENTRI Membership

Employment Information

Travel Information

Background Questions

 - 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.

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Title:

From the list provided, select your preferred title, based on your gender, marital status and/or professional designation.
Mr.: Identifies a male person who is either single, married or widowed.
Mrs.: Identifies a female person who is married or widowed.
Miss.: Identifies a female person who is single.
Ms.: Identifies a female person who is married, single, divorced or widowed and prefers not to use Mrs. and/or Miss.
Dr.: Preferred use of professional designation indicating medical doctor or post-graduate (PhD.) title.

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First (Given) Name as stated in passport:

Enter ALL first (given) names exactly as they appear in your passport. If you do not have a first name, then enter the letters FNU which stands for First Name Unknown.

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Family Name as stated in passport :

Enter your family name (surname) as it appears in your passport under the Family Name or Surname field.

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Are you known by any other names or aliases?

Indicate whether you are known by any other names or aliases by selecting yes or no. Enter up to 10 other names or aliases by which you are known if you selected "yes" to this question. At least one entry is required to complete the application.

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Email Address:

Enter your email address. It is important that you provide a valid and working email address in order to activate your account. Please note that all correspondences will be sent to your indicated address via email. Please ensure your email address is spelled correctly and includes the correct ending. The "My Account" section of your profile allows you to update your email address and provide an alternate email address.

E.g. john@hotmail.com is an example of a valid email address.

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Gender:

Select your gender as shown on your passport.

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Date of Birth:

Select the day, month, and year in which you were born.

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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.

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Country of Birth:

Select the country in which you were born.

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Upload a copy of your passport biodata page:

The image must be of the page showing your photo, name and other personal information. Image must be ONLY 1 page of passport, not 2 pages. Refer to examples below. Requirements:

  • Whole page and no other objects
  • Clear and in focus
  • No flash, shadows, creases or tears
  • JPG or JPEG format only
  • Maximum file size: 20MB (mega bytes)
  • Upload function is better working on Chrome, Firefox, Safari, and IE10+ (NOT IE9 and older version)

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Passport Number:

Enter your passport number exactly 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.

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Country of Citizenship:

Choose the country of citizenship, as it appears on your passport.

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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.

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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.

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Issuing Country:

Select your country of citizenship, as it appears on your passport.

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Issuance Date:

Select the day, month and year your passport was issued, as it appears in your passport

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Expiration Date:

Select the day, month and year your passport expires, as it appears in your passport.

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Do you have an electronic or machine readable passport?

Travel under the Visa Waiver Program is restricted to travelers possessing passports with specified security features. Visa Waiver Program requirements are:
- The passport must have a machine-readable zone on the biographic page
- The passport must be an electronic passport with a digital chip containing biometric information about the passport owner.

As of April 1, 2016, all travelers must have an e-passport to use the VWP. An e-Passport, denoted by the symbol , is an enhanced secure passport with an embedded electronic chip. E-Passports are issued by the proper passport issuing authority and must meet international standards for securing and storing information corresponding to the passport and bearer.

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

If you have never been issued any one of these documents by any other country answer "No" to this question. If you have been issued one of these documents from another country, but you do not remember the passport number or national identification card number and the year of expiration answer "UNKNOWN" in the passport number field and four zeros "0000" in the year of expiration field.

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

If Yes, select the country first, then select how you acquired the citizenship/nationality.

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

"Previous" means at any time in the past, without limitation.

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Family name:

Enter your parent's family (surname) name. If you do not know one or both of your parents, enter UNKNOWN.

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First (Given)Name:

Enter your parent's first (given) name. Do not include the middle name in this field. If your parent has no first name, or if you do not know one or both of your parents, enter UNKNOWN.

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Family name:

Enter your parent's family (surname) name. If you do not know one or both of your parents, enter UNKNOWN.

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First (Given)Name:

Enter your parent's first (given) name. Do not include the middle name in this field. If your parent has no first name, or if you do not know one or both of your parents, enter UNKNOWN.

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Address:

Enter the number and street of the location of your home address. Do not include the city and state in this field. For e.g. 123 John St.

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Apartment Number (if applicable):

Enter apartment, suite, unit, number, if applicable. Do not include the city and state in this field. For example, Apt/Suite/Unit 101.

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City :

Enter the city, town, village, or hamlet. For example, New York

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State/Province/Region:

Enter the state, province, or region.

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Country of Residence :

Select the type of phone you normally use.

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Telephone Type:

Select the type of phone you normally use.

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Phone Number:

Select country code from drop down list then a telephone number where you can best be contacted.

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Do you have a current or previous employer:

Indicate whether you have a current or previous employer by selecting yes or no.

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Job Title:

Enter the job title of your current or previous employment.

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Employer Name:

Enter the name of your current employer (the company or organization for whom you work). If you are not currently employed, enter the name of your previous employer. You may also enter SELF-EMPLOYED, STUDENT, CHILD, HOMEMAKER, STAY-AT-HOME PARENT, RETIRED or any other word to describe your employment status.

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Address:

Enter the number and street of the location of the employer you listed. Do not include the city and state in this field. If you do not know the address of the employer you listed you may enter UNKNOWN.

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City:

Enter the city, town, village, or hamlet. If you do not know the city you may enter UNKNOWN.

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State/Province/Region:

Enter the state, province, or region. If you do not know the state/province/region you may enter UNKNOWN.

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Country:

Enter the country for your current or previous employer.

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Phone Number:

Select your employer’s country code from the drop down list then enter their contact number.

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

Indicate if your are transitting through the U.S. to another country.

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U.S Point of contact information:

A U.S. point of contact may be a friend, relative, or business associate. If you do not have a U.S. point of contact, please enter the name, address and telephone number of the location where you will be staying (e.g. a hotel name). You may also enter UNKNOWN

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Name:

Enter the first and last name of your U.S. contact, or the name of location where you will be staying.

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Address:

Enter the number and street of your U.S. point of contact's address. Do not include the city and state in this field. You may also enter UNKNOWN.

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Apartment Number (If Applicable):

Enter apartment, suite, unit, or other, if applicable.

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City:

Enter the city, e.g. New York. You may also enter UNKNOWN.

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State:

Select the state, e.g. Texas. You may also select UNKNOWN.

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Phone Number:

Enter your U.S. point of contact's telephone number. If you do not have a point of contact telephone number you may enter zeros.

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Address:

Enter the number and street of the location where you will stay while in the U.S. Do not include the city and state in this field.

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Apartment Number (If Applicable):

Enter apartment, suite, unit, or other, if applicable. Do not include the city and state in this field.

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City:

Enter the city. The city is optional to complete the application.

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State:

Select the state, e.g. Texas. You may also select UNKNOWN.

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Emergency contact information in or out of the U.S:

Enter your emergency point of contact who may be a person in or outside of the United States, e.g., a family member, friend, or business associate.

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Family name:

Enter your emergency contact's family name. If you have do not have an emergency contact, enter UNKNOWN.

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First (Given)Name:

Enter the emergency contact's first name. If you do not have an emergency contact enter UNKNOWN.

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E-mail Address:

Enter your emergency contact's email address. You may also enter UNKNOWN.

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Phone Number:

Select the country and enter the telephone number for your emergency contact. If you do not have an emergency contact telephone number you may enter zeros.

SAMPLE PASSPORT: DETAILED VIEW

The sample passport below is shown to provide general guidance on the common fields to reference when filling out the ESTA application. Please refer to your own specific passport, and enter the information exactly as displayed.


MACHINE READABLE ZONE (MRZ)



1. Issuing Country
The issuing country is your country of citizenship as it appears on your passport. The country of citizenship on your passport is the passport issuing authority, regardless of the country the passport was physically obtained in. Refer to this list of Country Codes for complete listing.

2. Family Name
Enter your family name as it appears in the Machine Readable Zone of your passport.

3. First (Given) Name
Enter your first (given) name as it appears in the Machine Readable Zone of your passport.

4. Passport Number
Enter your passport number as it appears in the Machine Readable Zone of your passport. The passport number may contain numbers and/or letters. Please closely distinguish between the two. Some commonly confused characters are the number zero (0) and letter 'O' and the number one (1) and letter 'I'.

5. Country of Citizenship
Enter your country of citizenship as it appears in the Machine Readable Zone of your passport. Refer to this list of Country Codes for complete listing.

6. Date of Birth
Enter your date of birth as it appears in the Machine Readable Zone of your passport.

7. Gender
Enter your gender as it appears in the Machine Readable Zone of your passport.

8. Expiration Date
Enter the expiration date as it appears in the Machine Readable Zone of your passport.

9. Personal Identification Number (If Applicable)
Enter the personal identification number as it appears in the Machine Readable Zone of your passport (if applicable).