Applicant Information

Enter your identity and passport details exactly as they appear on your passport.

Identity

Enter your names exactly as shown in the machine-readable zone at the bottom of your passport photo page. Include any accents or hyphens as printed.

Family Name (Surname) *

Given Names *

Other Names or Aliases (Optional)

Date of Birth *

Sex *

City of Birth *

Country of Birth *

Passport Information

You must apply using a valid electronic passport (e-Passport) issued by a Visa Waiver Program country. Enter the passport number exactly as it appears on the photo page.

Passport Number *

Country of Citizenship *

Passport Issue Date *

Passport Expiry Date *

Country of Passport Issuance *

Contact Information

Email *

Confirm Email *

Phone Number *

Home Address

Street Address *

City *

State / Region

Country *

Purpose of Travel

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

Yes No

U.S. Point of Contact Information

Provide the name and address of a person, hotel, or organization in the United States. If unknown, enter "UNKNOWN" in the name field.

Contact Name *

Contact Phone

Address in the U.S. (Street, City, State) *

Emergency Contact (Outside the U.S.)

Full Name *

Phone Number *

Applicant Attestation

Waiver of Rights. By submitting this application under the Visa Waiver Program, I waive any right to review or appeal a U.S. Customs and Border Protection officer's determination as to my admissibility, and I waive any right to contest, other than on the basis of an application for asylum, any action for removal.

Certification. I certify that I have read, or had interpreted to me, all the questions and statements on this application and I understand them all. I certify, under penalty of perjury under the laws of the United States of America, that all statements and answers provided in this application are true and correct.

Eligibility. I confirm that I meet the eligibility criteria of the Visa Waiver Program as published on the official U.S. Customs and Border Protection website at cbp.gov/travel. Applicants who are unsure of their eligibility should consult the official published guidance before submitting.

I have read and I attest to the above statements. My submission is made under penalty of perjury.

I'm not a robot reCAPTCHA
Privacy · Terms

Review Your Application

Please verify the information below. Once your payment is processed, changes to certain fields (such as passport number, name, and date of birth) will require submission of a new application.

Total Application Fee $40.27 USD

I have reviewed my application, I authorize the charge of $40.27 USD to my payment card, and I agree to the Terms of Use and Privacy Statement.

Preparing secure payment…

You are being securely transferred to our payment processor to complete your $40.27 payment. Please do not close this window.

Official websites use .gov

Secure .gov websites use HTTPS