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Eine anfrage beantragen

ENTER APPLICANT INFORMATION

The following information is required of every non-immigrant visitor not in possession of a visitor's visa who is a national of one of the countries [1] listed in 8 CFR 217.2. Please enter all information requested. Each member of your traveling party must complete a separate application.

Please provide all responses in English.

Required fields are indicated by a red asterisk *.


APPLICANT / PASSPORT INFORMATION

Refer to your passport and enter all information in the same format.

SAMPLE PASSPORT

This sample passport displays the information you will need from applicant's passport. Information must be entered exactly as it appears in passport. Enlarge image to see more information.


 


 


Other Citizenship/Nationality

 





 
 

GE MEMBERSHIP

 
 

PARENTS

Please list your parents names in the boxes to the right. All applicants are required to fill out this section.






YOUR CONTACT INFORMATION

Please enter your contact information below.



Social Media (Optional)

Please enter information associated with your online presence.


EMPLOYMENT INFORMATION

 

 

ENTER TRAVEL INFORMATION

Please provide all responses in English.

Required fields are indicated by a red asterisk *.


 

U.S. Point of Contact Information

 

Address While in the U.S.

EMERGENCY CONTACT INFORMATION IN OR OUT OF THE U.S.

 

ELIGIBILITY QUESTIONS

Need additional guidance on eligibility questions?

Required fields are indicated by a red asterisk *.


  • Cholera
  • Diphtheria
  • Tuberculosis, infectious
  • Plague
  • Smallpox
  • Yellow Fever
  • Viral Hemorrhagic Fevers, including Ebola, Lassa, Marburg, Crimean-Congo
  • Severe acute respiratory illnesses capable of transmission to other persons and likely to cause mortality.








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.

CERTIFICATION:*

I, the applicant, hereby certify that I have read, or have had read to me, all the questions and statements on this application and understand all the questions and statements on this application. The answers and information furnished in this application are true and correct to the best of my knowledge and belief.

THIRD PARTIES ONLY:

For third-parties submitting the application on behalf of the applicant, I hereby certify that I have read to the individual whose name appears on this application (applicant) all the questions and statements on this application. I further certify that the applicant certifies that he or she has read, or has had read to him or her, all the questions and statements on this application, understands all the questions and statements on this application, and waives any rights to review or appeal of a U.S. Customs and Border Protection Officer's determination as to his or her 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. The answers and information furnished in this application are true and correct to the best of the applicant's knowledge and belief.