ESTA – VISA USA

Basic information
Check your passport and fill out all data in the same format.

Personal data
Provide all personal information truthfully.

Enter your full name or a nickname*

Address of residence

State/Province/Region*

Names of the parents

Employment information

State/Province/Region*

Travel information
Provide truthful travel information.

Contact details in the USA

Emergency contact details

Passport
To proceed with your ESTA application, you must upload your passport as required by the US government. You must upload a copy of your passport to successfully complete your application. Select the “Upload Passport” button to access your device’s camera. If you do not have a camera or scanner, you can upload a passport photo from your gallery. If you are completing the application on your computer, select the passport photo on your computer. You will find a sample passport photo next to or below the application form. Make sure that you take a photo of the entire biographical page of the passport. That means the whole page of your passport has to be visible and cannot be cut. Photo cannot be blurred. Do not use the flash on the camera.

Upload a passport photo*

Drop files here or

Max. file size: 8 MB, Max. files: 1.

!!! A passport photo is required to obtain a travel authorisation. If it is not possible to upload the passport photo at this time, you can send the passport photo later to the e-mail address info@visausaesta.com !!!

Country that issued the passport*

Citizenship / Nationality*

How did you obtain the citizenship / nationality of this country?*

Citizenship / Nationality*

PASSID / member number*

Eligibility questions

Reason for the visit*

WAIVER OF RIGHTS
I have read and understand that I hereby waive for the duration of my travel authorization obtained via ESTA any rights to review or appeal of a U.S. Customs and Border Protection Officer’s determination as to my admissibility, or to contest, other than on the basis of an application for asylum, any removal action arising from an application for admission under the Visa Waiver Program. In addition to the above waiver, as a condition of each admission into the United States under the Visa Waiver Program, I agree that the submission of biometric identifiers (including fingerprints and photographs) during processing upon arrival in the United States shall reaffirm my waiver of any rights to review or appeal of a U.S. Customs and Border Protection Officer’s determination as to my admissibility, or to contest, other than on the basis of an application for asylum, any removal action arising from an application for admission under the Visa Waiver Program.

Please check the data you have entered. If you need to change the details, go back to the form.

First name:
Last name:
Date of Birth: 01.01.1970
Passport number:
Date of issuance of the passport: 01.01.1970
Date of expiration of the passport: 01.01.1970
Email:

Click on the “Submit” button to complete the form and be redirected to the payment page.

ESTA APPLICATION