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.
Please ensure you upload the entire passport biographic page of the traveler applying for ESTA authorization. You can do a photo of your passport page or a scan. You can upload .jpg, .jpeg, .png, .pdf, .gif files.
*Please Upload Your Passport Biographic Page
*Surname Required
*First Name Required
*Yes or No Required
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Year Required
*City of Birth Required
*Country of Birth Required
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*First Name Required
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*First Name Required
*Passport Number Required
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*Country of Citizenship Required
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Country:*
How did you acquire citizenship / nationality from this country?*
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Country:*
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