Back to ESTA Homepage Step 1 of 5 20% Contact informationEmail(Required) Phone(Required) APPLICANT INFORMATIONRefer to your passport and enter all information in the same format. First (Given) Name(Required) Family Name(Required) Passport Number(Required) Country of Citizenship(Required)--Choose--Andorra (AND)Australia (AUS)Austria (AUT)Belgium (BEL)Brunei (BRU)Chille (CHL)Czech Republic (CZE)Denmark (DNK)Estonia (EST)Finaland (FIN)France (FRA)Germany (DEU)Greece (GRC)Hungary (HUN)Iceland (ISL)Ireland (IRL)Italy (ITA)Japan (JPN)Latvia (LVA)Liechtensteine (LIE)Lithuania (LTU)Luxembourg (LUX)Malta (MLT)Monaco (MCO)Netherlands (NLD)New Zealand (NZL)Norway (NOR)Poland (POL)Portugal (PRT)San Marino (SMR)Singapore (SGP)Slovakia (SVK)Slovenia (SVN)South Korea (KOR)Spain (ESP)Sweden (SWE)Switzerland (CHE)Taiwan (TWN)UK - British Citizen (GBR)UK - British Citizen (GBR)UK - British DTC (GBR)UK - British national (O) (GBN)UK - British overseas (GBO)UK - British subject (GBS)UK - Protected person (GBP) Date of BirthChoose day(Required)--Choose--12345678910111213141516171819202122232425262728293031Choose Month(Required)--Choose--JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberChoose Year(Required)--Choose--1920192119221923192419251926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022 Issuance date passportChoose day(Required)--Choose--12345678910111213141516171819202122232425262728293031Choose month(Required)--Choose--JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberChoose year(Required)--Choose--2010201120122013201420152016201720182019202020212022 Expiration date passportChoose day(Required)--Choose--12345678910111213141516171819202122232425262728293031Choose month(Required)--Choose--JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberChoose year(Required)--Choose--2021202220232024202520262027202820292030203120322033