ESTA application form - Demande ESTA USA

Online ESTA application

Online ESTA application for the United States: quick and easy

Get your ESTA easily with our fast and intuitive online procedure. Prepare your trip to the USA stress-free with a secure official authorization.

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Applicant Information

First (Given) name(s) *

Last (Given) name(s) *

Email address *

Are You Known By Any Other Names or Aliases? *YesNo

First (Given) name(s) *

Last (Given) name(s) *

Date Of Birth *

City Of Birth *

Country Of Birth *

Passport information

Country of citizenship *

Issuing Country *

Passport number *

Passport number confirm *

Passport Issuance Date *

Passport Expiration Date *

Upload a photo of your passport *

Gender *

Do you have another passport or identity card to travel to another country ? * YesNo

Issuing Country *

Document number *

Document type *

Expiration Year *

Other nationality/citizenship

Are you now a citzen or national of any other country ? * YesNo

Country of Citizenship *

How did you acquire citizenship ? *

Have you ever been a citzen or national of any other country ?* YesNo

Country of citizenship *

From*

To *

GE Membership

Are you a member of the CBP global entry program? *

YesNo

PASSID / Membership number *

Eligibility information

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. * YesNo 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?* YesNo 3) Have you ever violated any law related to possessing, using, or distributing illegal drugs? * YesNo 4) Do you seek to engage in or have you ever engaged in terrorist activities, espionage, sabotage, or genocide? * YesNo 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?* YesNo 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? * YesNo 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?* YesNo 8) Have you ever stayed in the United States longer than the admission period granted to you by the U.S. government?* YesNo 9) Have you traveled to, or been present in Iran, Iraq, Libya, North Korea, Somalia, Sudan, Syria or Yemen on / after March 1, 2011?* YesNo 10) Have you ever traveled to, or been present in Cuba on or after January 12, 2021?* YesNo

Your Contact Information

Please add your contact information below.

Address line 1 *

Address line 2

Apartment number

City*

State/Province/Region*

Country *

Telephone Type *

Telephone number*

Parents

Please list your parents names in the boxes below. All applicants are required to fill out this section.

First (Given) name(s) *

Last (Given) name(s)*

First (Given) name(s)*

Last (Given) name(s)*

Employment information

Do you have a current or previous employer? * YesNo

Job title *

Employer name *

Address line 1 *

Address line 2 *

Employer city *

Employer's state *

Country *

Telephone number *

Travel information

Is your travel to the US occurring to transit to another country? * YesNo

U.S point of contact information

Enter the person or business you will be visiting in the United States. This can be the address of your hotel or lodging. If you do not yet have your final travel plans, you may select 'Unknown' to skip these fields, but it is advised that you fill it in to raise the chances of a successful application.(if you do not have a contact, leave it blank)

Name

Address line 1

Address line 2

Apartment number

City

State

Telephone number

Intended date of departure *

Emergency contact information in or out of the U.S

First (Given) name(s)*

Last (Given) name(s)*

Email address *

Telephone number*

Applicant's Declaration

I declare that the information I have provided in this application is truthful, complete and accurate to the best of my knowledge. I understand that an approved travel authorization is NOT a visa. It does not meet the legal or regulatory requirements to serve in lieu of a United States visa when a visa is required under United States law. Individuals who possess a valid visa will still be able to travel to the United States on that visa for the purpose for which it was issued. Individuals traveling on valid visas are not required to apply for a travel authorization. I have read and understood the terms of the Visa Waiver Program. I understand that If my Electronic Travel Authorization is approved, this approval establishes that I am eligible to travel to the United States under the Visa Waiver Program but does not guarantee that I am admissible to the United States. Upon arrival in the United States, I will be inspected by a Customs and Border Protection officer at a port of entry who may determine that I am inadmissible under the Visa Waiver Program or for any reason under United States law. I understand that attempting to obtain an Electronic System for Travel Authorization (ESTA) under the US Visa Waiver Program by the willful misrepresentation of a material fact, or fraud, is an offense under INA 217, 8 U.S.C. 1187 and the CFR Title 8, Subchapter B, Part 217 and may result in the permanent refusal of a Travel Authorization, or adjudicated inadmissibility for entry into the USA as well as removal from the United States and its territories after entry has been granted based on such willful misrepresentations.

Third Party Authorization

I understand that I am applying via esta-demande.com, a third-party that is not affiliated with the United States government, that the third-party cannot guarantee application approval, that the third-party service is offered to help expedite the process, and that I have the option to apply directly with the pertinent government websites. I confirm and authorize esta-demande.com, to assist me, by using their processing service in completing and reviewing my application. I understand and acknowledge that I have not been offered legal advice and that this company or its agents and affiliates have never claimed to be qualified to offer legal advice under any circumstance. I also confirm that I am submitting my application and signing it myself.

Terms and Conditions

I declare that I have read and accepted the Terms and Conditions and Privacy Policy of esta-demande.com. By validating the above information, I confirm that I have ordered an ESTA application including an administration fee of €129.00. You can contact our support team by email at contact@esta-demande.com or by telephone on +33 1 84 80 05 13.

Personal Data Confidentiality & Protection

Please answer one of the security questions, which will help us verify your ID in case we can’t verify your street address.

Security question *

Answer *

Personal Data Confidentiality & Protection

By checking the box below, you confirm that the name you have entered corresponds exactly to the name on your passport.

Online ESTA application for the United States: quick and easy

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Applicant Information

Passport information

Other nationality/citizenship

GE Membership

Eligibility information

Your Contact Information

Parents

Employment information

Travel information

U.S point of contact information

Emergency contact information in or out of the U.S

Applicant's Declaration

Third Party Authorization

Terms and Conditions

Personal Data Confidentiality & Protection

Personal Data Confidentiality & Protection

ESTA Application

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Important note