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Visado Estados Unidos

ESTA

Múltiple entrada: Si
Estancia máxima por entrada: 90 días
Validez: 2 años desde la emisión
Tasa de servicio: USD 20.00
Tasa de gobierno: USD 40.00

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- Step 1 of 13

ESTA - UNITED STATES OF AMERICA

*Refer to your passport and enter all information in the same formal. Required fields are indicated by a red asterisk (*).

*This form must be completed in English only. Applications submitted in other languages will not be accepted.

APPLICANT / PASSPORT INFORMATION

Family Name *

First (Given) Name *

Passport Number *

lssuance Date *

Expiration Date *

Country of Citizenship / Nationality *

National ldentification Number *

Sex *

Date of Birth *

Country of Birth *

City of Birth *

Passport Biographic Page Upload *

Click or drag a file to this area to upload.

Upload a clear, full-color image of your passport’s biographic page (photo + personal details). Ensure all corners are visible, the text is readable, and there is no glare or blur. Max file size: 2 MB. Allowed formats: JPG/JPEG, PNG, PDF.

OTHER CITIZENSHIP/NATIONALITY/h2>

Are you now, a citizen or nationa1 of any other country? *

Yes
No

Have you ever been a citizen or national of any o1her country? *

Yes
No

E-mail Address *

Correo electrónico

Confirmar el correo electrónico

IMPORTANT: Your application number will be sent to the emall address entered below. You must verify your email address to complete your applicatlon

ENTER PERSONAL INFORMATION

(Please provide all responses in English. Required flelds are indicated by a red asterisk)

Are you known by any other names or aliases? *

Yes
No

Have you ever been issued a passport or nationa1identity card fortravel by any other country? *

Yes
No

ENTER PERSONAL INFORMATION

(Please enter your contact information below.)

Address *

Address Line 1

Address Line 2

City

State

Zip Code

ENTER PERSONAL INFORMATION

(Please enter information associated with your online presence over the past five years.)

Facebook Page ID

Linkedln Proflle Link

Twitter User ID

Provider / Platform

Social Media ldentifier

Ido not have an online presence

GE/NEXUS/SENTRI MEMBERSHIP

Are you a member of the CBP Global Entry/NEXUS/SENTRI Program? *

Yes
No

PARENTS

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

Family Name (1) *

First (Given) Name (1) *

Family Name (2) *

First (Given) Name (2) *

EMPLOYMENT INFORMATION

Do you have a current or previous employer? *

Yes
No

Job Title

Employer Name *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Country Code

Enter the country code of your employer's telephone number.

Telephone Number

Enter your employer's telephone number. *The telephone number is optional to complete the application.

ENTER TRAVEL INFORMATION

(Please provide all responses in English. Required fields are indicated by a red asterisk*)

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

Yes
No

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

Family Name *

First (Given) Name *

Country Code *

Phone Number *

ELIGIBILITY QUESTIONS

Required fields are indicated by a red asterisk*)

1) Do you have a physical or mental disorder; orare you a drug abuser or addict; or do you currently have any of the following diseases (communicable diseases are specifled pursuant to section 367 (b) of the Public Health Service Act): Cholera, Diphtheria, Tuberculosis, infectious Plague Smallpox Yellow Fever Viral Hemorrhagic Fevers, including Ebola, Lassa, Marburg, Crimean-Congo Severe acute respiratory illnesses capable oftransmission to other persons and likelyto cause mortality *

Yes
No

2) Have you ever been arrested or convicted for a crime that resulted in serious damage to property, or serious harm to another person or government authority? *

Yes
No

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

Yes
No

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

Yes
No

5) 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

6) 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

7) 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

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

Yes
No

9) Have you traveled to, or been present in Cuba, lran, Iraq, Libya, North Korea, Somalía, Sudan, Syria or Yemen on or after March 1, 2011? *

Yes
No

WAIVER OF RIGHTS

In addition to the above waiver, as a condition of each admission into the United States under the Visa Waiver Program, 1 agree that the submission of biometric identif,ers (including fmgerprints and photographs) during processing upan arrival in the United States shall reaffirm my waiver of any rights to review ar appeal of a U.S. Cus1oms and Border Protection Officer's determination as to my admissibility, orto contest, otherthan on the basis of an application for asylum, any removal action arising from an application for admission under the Visa Waiver Program. *

I have read and understand that I hereby waive for the duration of mytravel authorization obtained via ESTA any rights to review ar appeal of a U.S. Customs and Border Protection Officer's determination as to my admissibility, orto contest. otherthan on the basis of an application for asy1um, any removal action arising from an app1ication for admission under the Visa Waiver Program.

EURO – Payment Options

Application fee: USD 20.00 (one-time payment).
Beneficiary: Ismael Cabrera Roa

IBAN: ES38 1583 0001 1090 6006 1588
BIC / SWIFT Code: REVOESM2

Bank name: Revolut Bank UAB
Address: Calle Príncipe de Vergara 132, 4 planta, 28002, Madrid, Spain

Correspondent bank BIC: CHASDEFX
Local account – Banco Caja Social: 24063900897

Payment Receipt Upload *

Click or drag a file to this area to upload.

Upload a clear, full-color image of your payment receipt confirming the one-time application fee of USD 20.00. Ensure all information is readable, all edges are visible, and the image is not blurry or distorted. No glare or shadows. Max file size: 2 MB. Allowed formats: JPG/JPEG, PNG, PDF.

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