Online US Visa Application Form

1. Submit Application Online
2. Review and Confirm Payment
3. Receive Approved US Visa

Please enter all information in English

Personal Details

Family/last name *

Enter your last name exactly as shown in your passport

Family name is also known as Last name or Surname
Enter ALL name(s) as they appear on your passport.

First/Given Names *

Enter your First and Middle Name as shown in your passport

Please provide your first name(s) (also known as "given name") exactly as shown on your passport or identity document.

Ensure that the full name given below (includes any middle names) is in English and matches exactly the name in your passsport.

Gender *

Date of Birth *

Place of Birth *

Enter your City or State of Birth as shown in your passport

Enter the name of the city/town/village shown in the place of birth field on your passport. If there is no city/town/village on your passport, enter the name of the city/town/village where you were born.

Country of Birth *

From the drop-down menu, select the name of the country shown in the Place of birth field on your passport.

Email Address *

You will receive an email that confirms the receipt of your Application at the email address you provide.

Confirm Email Address *

Marital Status *

Country of Citizenship *

Passport Details

Provide details of the passport that you will use to enter United States. Enter these details exactly as they appear in your passport.

Issuing Country of Passport *

The Country of Passport must match Country of the Citizenship. If you need to change Country of Passport, update Country of Citizenship.

Passport Number *

Enter the passport number exactly as it appears on the biographic information page. Pay particular attention to the letter O and the number 0; and the letter I and the number 1.

Confirm Passport Number *

Re-enter Passport Number to confirm.

Passport Date of Issue *

Passport Expiry Date *

Please note that for this trip, you must use a passport issued by the Ministry of Foreign Affairs in Taiwan.

Taiwan Personal Identification Number (as given in passport) *

Chilean National Identification Number *

The RUN or RUT has 7 or 8 digits

In the past have you ever been citizen of any other country?*

Yes No

Country of Past Citizenship *

Start date of Previous Citizenship or Nationality *

End date of Previous Citizenship or Nationality *

Passport Number from Previous Citizenship *

Expiry year of Passport from Previous Citizenship *

Are you currently a citizen or national of any other country?*

Yes No

Country of Dual Citizenship *

How did you acquire dual citizenship? *

Passport number from Dual Citizenship *

Expiry year of passport from Dual Citizenship *

ADDRESS DETAILS

Home Address line 1 *

Home Address line 2 (optional)

Town or City *

State or Province or District *

Postal / ZIP Code

Country of Residence *

Mobile/Phone Number *

UNITED STATES POINT OF CONTACT DETAILS

If you do not have any contact in the United States, you can enter contact information for your place of stay in the US. If you do not have address details for place of stay at this point of time, enter UNKNOWN.

Full name of Contact *

Contact Address Line 1 *

Contact Address Line 2

City *

State *

Mobile/Phone Number *

Travel and Employment Details

Purpose of Visit *

Please enter purpose of your visit

Expected Date of Arrival *

Visa validity will start from the Visa Issue Date.

Do you have a current or previous employer?*

Yes No

Employer or Company Name *

Job Title (optional)

Employer Address Line 1 *

Employer Address Line 2 (optional)

Town or City of Employment

State or District of Employment

Country of Employment *

Parent Details

Father's Family Name *

Father's First / Given Name

Mother's Family Name *

Mother's First / Given Name

Eligibility Details

If you answer Yes to any of the questions below, you are not eligible to apply for ESTA USA Visa online and you will need to contact your nearest US consulate or embassy.

Have you ever been arrested or convicted for a crime that resulted in serious damage to property, or serious harm? *

Yes No

Have you ever violated any law related to possessing, using, or distributing illegal drugs? *

Yes No

Do you seek to engage in or have you ever engaged in terrorist activities, espionage, sabotage, or genocide? *

Yes No

Have you ever committed fraud or misrepresented yourself or others to obtain, or assist others to obtain, a visa or entry into the United States? *

Yes No

Are you currently seeking employment in the United States or were you previously employed in the United States without prior permission from the U.S. government? *

Yes No

Have you ever been denied a U.S. visa you applied for with your current or previous passport, or have you ever been refused admission to the United States or withdrawn your application for admission at a U.S. port of entry? *

Yes No

Have you ever stayed in the United States longer than the admission period granted to you by the U.S. government? *

Yes No

Have you traveled to, or been present in Iran, Iraq, Libya, North Korea, Somalia, Sudan, Syria or Yemen on or after March 1, 2011? *

Yes No

Do you have a physical or mental disorder; or are you a drug abuser or addict; or do you currently have any of the following diseases:

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.

Yes No

UPLOAD PASSPORT

Provide your passport

Provide an acceptable photo of your passport information page. Alternatively, you can skip upload right now and receive instructions on how to send it later via email.

Are you able to upload passport right now*

Yes No

You can either upload a recent photo of passport or use your device's camera to take a photo.

Passport Requirements

- Passport photo/scan must be clear and of good quality and high resolution.
- You can upload your Passport scan in the following file formats: PDF, PNG, and JPG.
- The Passport scan shouldn’t be blurred.
- The MRZ (the two strips at the bottom of the Passport) should be clearly visible.

Upload Your Passport

× Only the following file types are permitted: jpeg, jpg, png, pdf.

× Success! Passport successfully submitted.

As recommended by U.S. Customs and Border Protection, you are required to provide a passport to complete your application. Without this documentation, your ESTA will not be processed and will remain pending. You will recieve an email with instructions on how to send us through your passport.

You have already tried uploading a maximum of five (5) times. Please email your passport to Help Desk

Declaration by Applicant

I declare that the information I have given in this application is truthful, complete and correct.

I have read and understood the terms and conditions and privacy policy.

Terms and Conditions

Privacy

What follow below are the terms and conditions, governed by Australian law, set by this website for the user's use of this website. By accessing and using this website, you are assumed to have read, understood, and agreed to these terms and conditions, which are meant to protect both the company’s and the user's legal interests. The terms “the applicant”, “ the user”, and “you” here in refer to the ESTA US Visa applicant seeking to apply for their ESTA for U.S. through this website and the terms “we”, “us”, and “our” refer to this website.

You can make avail for yourself the use of our website and the services that we offer on it only upon agreeing to all of the terms and conditions set herein.

Personal data

The following information is registered as personal data in the database of this website: names; date and place of birth; passport details; data of issue and expiration; type of supporting evidence/documents; phone and email address; postal and permanent address; cookies; technical computer details, payment record etc.

All provided information is registered and stored within the secured database of this website. Data registered with this website is not be shared nor exposed to third parties, except:

When the user has explicitly agreed to allow such actions.
When it is required for the management and maintenance of this website.
When a legally binding order is issued, requiring information.
When notified and the personal data cannot be discriminated.
The law requires we provide these details.
Notified as a form in which personal information can't be discriminated.
The company will process the application using the information provided by the applicant.

This website is not responsible for any incorrect information provided.

For more information on our confidentiality regulations, see our Privacy Policy.

Ownership and Limits on Website Use

This website is solely owned by a private entity, with all of its data and content being copyrighted and the property of the same. We are in no way or form affiliated with the Government of United States. This website and the services offered on it are limited only to personal, non-commercial use and may not be used for personal gain or be sold to a third party. Nor may you profit from the services or information available herein in any other way. You may not modify, copy, reuse, or download any part of this website for commercial use. You may not make use of this website and its services unless you agree to be bound by and comply with these terms and conditions of website use. All data and content on this website is copyrighted.

About Our Services and Delivery Policy

We are a private, third party online application service provider based in Asia and Oceania and in no way affiliated with the Government of United States or the U.S. Embassy. The services we provide are those of data entry and processing of applications for the eTA Visa Waiver for eligible foreign national applicants who wish to visit United States. We can help you in obtaining the Electronic System for Travel Authorization or ESTA for U.S. from the Government of U.S. by assisting you with the filling out of your application, properly reviewing your answers and the information you enter, translating any information if so required, checking everything for accuracy, completion, and spelling and grammar errors.

In order to process your request for the ESTA US Visa and to ensure that your application is complete we may contact you via phone or email if we require any additional information from you. Once you have completely filled the application form on our website, you may review the information you have provided and make any changes if necessary. Thereafter you will be required to make the payment for our services.

After that our team of experts will review your application and then submit it to the U.S. Customs and Border Protection for approval. In most cases we will be able to provide you with same day processing and update you of the status of your application via email, unless there are any delays.

Exemption from Responsibility

This website does not guarantee the acceptance or approval of applications for ESTA U.S. Visa. Our services do not go beyond processing your ESTA U.S. Visa application after proper verifying and reviewing of details and its submission to the ESTA U.S. Visa system.

Approval or rejection of the application is subject entirely to the decision of the Government of United States. The website or its agents cannot be held responsible for any possible refusal of the applicant's application caused, for instance, due to incorrect, missing, or incomplete information. It is the applicant’s responsibility to ensure that he or she provides valid, correct, and complete information.

Security and Temporary Suspension of Service

In order to protect and secure the website and the information stored in its database, we reserve the right to alter or introduce new security measures without any prior notice, to withdraw and/or limit any individual user’s use of this website, or take any other such measures.

We also reserve the right to temporarily suspend the website and its services in case of system maintenance, or such factors out of our control as natural disasters, protests, software updates, etc., or unforeseen electricity cut or fire, or changes in the management system, technical difficulties, or any other such reasons impeding the functioning of the website.

Change of Terms and Conditions

We reserve the right to make any changes to the terms and conditions binding the user's use of this website, for various reasons such as security, legal, regulatory, etc. By continuing to use this website you will be assumed to have agreed to abide by the new terms of use and it is your responsibility to check for any alterations or updates in the same before continuing to make use of this website and the services offered on it.

Termination

If you seem to have failed to comply with and act according to the terms and conditions set by this website, we reserve the right to terminate your access to this website and its services.

Applicable Law

The terms and conditions set herein are governed by and fall under the jurisdiction of Australian law and in case of any legal proceedings, all parties will be subject to the jurisdiction of Australian courts.

Not Immigration Advise

We provide assistance with the processing and the submission of the application for ESTA for United States. No immigration advice for any country is included in our services.

Privacy policy

This privacy policy specifies what this website does with the data it collects from users and how that data is processed and for what purposes. This policy pertains to the information that this website collects and will inform you of what personal information of yours is collected by the website and how and with whom the said information may be shared. It will also notify you of how you can access and control the data the website collects and the choices available to you regarding the use of your data. It will also go over the security procedures in place on this website that will stop from there being any misuse of your data. Finally, it will apprise you on how to correct the inaccuracies or mistakes in the information should there be any.

By using this website, you agree to the Privacy Policy and its terms and conditions.

Information Collection, Use, and Sharing

The information collected by this website is owned solely by us. The only information that we can collect or that we have access to is that which is voluntarily provided to us by the user via email or any other form of direct contact. This information is not shared or rented to anyone by us. The information collected from you is used only to respond to you and to complete the task you have contacted us for. Your information won’t be shared with any third party outside of our organization except when it is necessary to do so in order to process your request.

User's Access to and Control Over Their Information

You can contact us via the email address provided on our website in order to find out what data our website has collected about you, if any; to have us change or correct any of your data about you that we do have; to have us delete all of the data the website has collected from you; or simply to express your concerns and queries about the use we make of the data our website collects from you. You also have the choice of opting out of any future contact with us.

U.S. Customs and Border Protection (CBP) requires this information so that your ESTA Visa for United States can be decided with well informed decision making process and that you are not turned back at the time of boarding or at the time of entry into United States.

Security

We take all security precautions in order to protect the information collected from you by the website. Any sensitive, private information submitted by you on the website is protected both online and offline. All sensitive information, for example, credit card or debit card data, is imparted to us securely after encryption. The closed lock icon on your web browser or the ‘https' at the beginning of the URL is proof of the same. Thus, encryption helps us to protect your personal and sensitive information online.

Similarly, we protect your information offline by granting access to any information that personally identifies you only to select employees who need the information in order to perform a job that processes your request. The computers and servers in which your information is stored are also protected and secure.

Processing Your Request/Order

As per our terms and conditions, you are mandated to provide us with information that is needed to process your request or order made on our website. This includes personal, contact, travel, and bio-metric information (for example, your full name, date of birth, address, email address, passport information, travel itinerary, etc.), and also such financial information as credit/debit card number and the date of their expiry, etc.

You must provide this information to us while submitting a request for applying for the ESTA US Visa. This information will not be used for any marketing purposes but only to fulfil your order. If we find any trouble in doing the same or need any more information from you, we will use the contact information provided by you to get in touch with you.

Cookies

A cookie is a small text file or piece of data that is sent by a website via the user’s web browser to be stored on the user's computer that collects standard log information as well as visitor behaviour information by tracking the user's browsing and website activity. We use cookies to ensure that our website works effectively and smoothly and to improve the user's experience. There are two types of cookies used by this website – site cookie, which is essential to the user's use of the website and for the website’s processing of their request and is in no way related to the user's personal information; and analytics cookie, which track users and help measure the performance of the website. You can opt out of analytics cookies.

Modification and changes to this Privacy Policy

Our legal policy, our Terms and Conditions, our reaction to Government legislation and other factors may force us to make changes to this Privacy Policy. It is a living and changing document and we can make changes to this Privacy Policy and may or may not notify you of the changes to this policy.

The changes made to this privacy policy are effective immediately upon publishing of this policity and they come into effect instantly.

It is the responsibility of the users that he or she is informed of this privacy policy. When you are completing ESTA US Visa Application Form, we asked you to accept our Terms and Conditions and our Privacy Policy. You are being provided the opportunity to read, review and provide us feedback of our Privacy Policy prior to submission of your application and payment to us.

Links

Any links contained on this website to other websites should be clicked by the user on their discretion. We are not responsible for the privacy policy of other websites and users are advised to read other websites' privacy policy themselves.

You can reach us

We can be contacted via our help desk. We welcome feedback, suggestions, recommendations and areas of improvements from our users. We look forward to making improvement to the already best platform in the world for applying for US Visa Online.

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