Step 1

General Information

Enter the number from your identity document issued by your country, other than a passport. If a National Identification Number has been issued to you, it is required to complete the application.

Enter your personal identification number as it appears on your passport. The personal identification number starts with an English letter followed by 9 numbers.

Enter the city, town, village, or hamlet in which you were born. If you do not know the city in which you were born, enter “UNKNOWN”.

JPG, JPEG, GIF, PNG or PDF, 5MB max

The photo must be unaltered by effects or filters original, not a screenshot or photocopy, in colour, horizontal (landscape), all 4 corners of the personal details page must be visible, clear and in focus, without glare or reflections.

Example

Step 2

Personal details

Indicate whether you are known by any other names or aliases. You may enter up to 10 additional names or aliases by which you are known.

Parents

If you do not know the name of one or both of your parents, enter UNKNOWN for each parent.
This field can include the names of your biological, adoptive, step-parent, or guardian.
JPG, JPEG, GIF, PNG or PDF, 5MB max

Please ensure the personal photo is not a copy of the photo in the passport. If you submit the same photo, the application will be canceled.

Example

Step 3

Current Residence Address

Please enter the street number and street name of your home address.

Enter the floor, building, or other, as appropriate.

Enter apartment, suite, unit, or other, as appropriate.

Enter the city, below. town, village, or hamlet.

Step 4

Employment Information

Enter the name of your current employer (the company or organization for whom you work). If you are not currently employed, enter the name of your previous employer.
You may also enter SELF-EMPLOYED, STUDENT, CHILD, HOMEMAKER, STAY-AT-HOME PARENT, or any other word to describe your employment status

Enter the number and street of the location of the employer you listed. If you do not know the address of the employer you listed, you may enter UNKNOWN

Enter the floor, building, or other, as appropriate.

Enter the city, below. town, village, or hamlet. If you do not know the city of the employer you listed, you may enter UNKNOWN

If you do not know the State/Province/Region of the employer you listed, you may enter UNKNOWN

If you do not know the country of the employer you listed, you may select UNKNOWN

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

Step 5

Additional Information

If you have been issued one of these documents from another country, but you do not remember the passport number or national identification card number and the year of expiration, answer “UNKNOWN” in the passport number field and four zeros “0000” in the year of expiration field.
If you have multiple passports or national identity cards, please list all current and expired documents for each country that has issued you a document.
The PASSID is exactly nine RSH digits. It is labeled as PASSID and can be found by logging into your TTP account.
Step 6

Social Media (Optional)

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

List the username, handle, screen name, or other identifier associated with your social media profile.

List the username, handle, screen name, or other identifier associated with your social media profile.

List the username, handle, screen name, or other identifier associated with your social media profile.

List the username, handle, screen name, or other identifier associated with your social media profile.

Step 7

Travel Information

U.S. Point of Contact Information

A U.S. Point of contact may be a friend, relative, or business associate. If you do not have a U.S. point of contact, please enter the name, address, and telephone number of the location where you will be staying (e.g., a hotel name). You may also enter UNKNOWN.

Enter the street number and name of your U.S. point of contact’s address. You may also enter “UNKNOWN.”

Enter floor, building, or other relevant details, as appropriate.

Enter apartment, suite, unit, or other, as appropriate.

Enter the city, below. town, village, or hamlet.

You may also select UNKNOWN.

If you do not have a point of contact telephone number, you may enter zeros.

Address While in the U.S.

If multiple locations are planned, enter the first address. If the complete address is not known, enter the name of the hotel or location you will visit.

Enter the number and street of the location where you will stay while in the United States.

In the Additional Address field, you may enter the floor, building, or other relevant details, as appropriate.

Enter apartment, suite, unit, or other, as appropriate.

Enter the city, below. town, village, or hamlet.

You may also select UNKNOWN.

Step 8

Emergency contact information in or out of the U.S.

If you have no emergency contact, enter UNKNOWN.

If you have no emergency contact (or your contact has only one name), enter UNKNOWN.

If you have no emergency contact's email address, enter UNKNOWN.

If you do not have an emergency contact telephone number, you may enter zeros.

Step 9

Eligibility Questions

  • 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.
Step 10

Consents

Disclaimer
Waiver of Rights
Third Parties Only

Arrival Date in the United States:

Processing fee

$199

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