Personal Information

In the Family Name field, enter your family name as the family name appears on your passport under the Family Name or Surname field. The family name is required to complete the application.
Family Name cannot be blank.
In the First (Given) Name field, enter your first (given) name as the first name appears on your passport under the First or Given Name field. Do not include the middle name in this field. The first name is required to complete the application. If you have no first name, then enter the letters FNU which stands for First Name Unknown.
First (Given) Name cannot be blank.
Choose the country of citizenship, as it appears on your passport. The country of citizenship is required to complete the application.
Country of Citizenship cannot be blank.
In the Day field, choose the day on which you were born. The day of birth is required to complete the application or to check the status of your application. In the Month field, choose the month in which you were born. The month of birth is required to complete the application or to check the status of your application. In the Year field, choose the year in which you were born. The year of birth is required to complete the application and to check the status of your application.
Date of Birth cannot be blank.

Passport Information

Choose the country of citizenship, as it appears on your passport. The passport issuing country is required to complete the application.
Issuing Country cannot be blank.
Enter your passport number as it appears on your passport. The passport number may contain numbers and/or characters. Please closely distinguish between the number zero and the letter O. The passport number is required to complete the application or to check the status of your application.
Passport Number cannot be blank.
Enter the application number that was assigned to your application by the system when you applied for your travel authorization. The application number is required to update or check the status of your application.
Application Number cannot be blank.

Address Information

In the Address Line 1 field, enter the number and street of the location of your home address. Do not include the city and state in this field. Address line 1 is required to complete the application.
Address Line 1 cannot be blank.
In the State/Province/Region field, enter the state, province, or region. The state/province/region is required to complete the application.
State/Province/Region cannot be blank.
In the Apartment Number field, enter apartment, suite, unit, or other, as appropriate. Do not include the city and state in this field. Apartment number is optional to complete the application.
In the City field, enter the city, town, village, or hamlet. The city, town, village, or hamlet is required to complete the application.
City cannot be blank.
Enter the email address at which you can be contacted. The email address is required to complete the application. If you do not have an email address, you may provide an alternative third-party email address belonging to a point of contact (e.g. a family member, friend or business associate.)
E-mail Address cannot be blank.