ESTA Application Form

  • On this page you can apply for ESTA visa travel authorization in a convenient and easy way. Please complete all mandatory fields (marked with red asterisk *).

  • We aim to process all ESTA applications ASAP.

  • We hope you will enjoy our service. Should you have any problems or questions regarding it, please do not hesitate to contact us.

  • If you do not know the answer to following questions: City of Birth, Parents, Emergency Contact, Emergency Contact Telephone Number, Emergency Contact E-mail Address, US Point of Contact, US Point of Contact Address,US Point of Contact Telephone Number, Employer Address. Please type UNKNOWN in these fields.

  • 1. Applicant Details

Surname * (As shown in Passport):

First (given) Name * (As shown in Passport):

Are you known by any other names or aliases?*

Date of Birth *:

City of Birth*:

Country of Birth*:

Gender *:

Parents *:

Mother's Surname

Mother's First Name

Father's Surname

Father's First Name

  • 2. Passport Information

Passport Number *:

Passport Issue Country*:

Passport Issue Date *:

Passport Expiry Date *:

Country of Citizenship*:

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

  • 3. Other Citizenship / Nationality

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

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

  • 4. GE Membership

Are you a member of the CBP Global Entry Program?*

  • 5. Contact Details

Email *:

Telephone Number *:

Address *:

State/Province/Region *:

City *:

Country where you live*:

  • 6. Emergency Contact Details In or Out of the United States

Emergency Contact *:

First Name


Telephone Number *:

Email *:

  • 7. Travel Information

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

  • 8. Address While In The United States (Optional)

    Please complete only if you answered NO to question "Is your travel to the US occurring in transit to another country?".

Are you travelling to the United States within the next 24 hours?

Address in The USA Line 1:

Address in The USA Line 2:



Date of travel to USA (DD/MM/YYYY):

  • 9. Employment Information

Do you have a current or previous employer?*

  • 10. Additional Employment Information (Optional)

    Please complete only if you answered YES to question "Do you have a current or previous employer?".

Telephone Number:

Job Title:

  • 11. Do any of the following apply to you?

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

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?*

3. Have you ever violated any law related to possessing, using, or distributing illegal drugs?*

4. Do you seek to engage in or have you ever engaged in terrorist activities, espionage, sabotage, or genocide?*

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?*

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?*

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?*

If Yes:

When (DD/MM/YYYY):


8. Have you ever stayed in the United States longer than the admission period granted to you by the U.S. government?*

9. Have you traveled to, or been present in Iraq, Syria, Iran, Sudan, Libya, Somalia or Yemen on or after March 1, 2011?*

  • Once you click on Apply button below, you will be redirected to payment page. ESTA USA WAIVER charge £37.82 per ESTA Application. Your debit or credit card details will be not revealed to our service.

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  • ESTA USA Waiver is an ESTA application service provider. This website has no connection with the U.S. Government.

  • Copyright © 2009-2019 ESTA USA Waiver, UK registered ESTA Application Agent

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