Complete Your EVUS

This application will only accept the following credit cards: MasterCard, VISA, American Express, and Discover. All information provided by you, or on your behalf by a designated third party, must be true and correct. You may be subject to administrative or criminal penalties if you knowingly and willfully make a materially false, fictitious, or fraudulent statement or representation in an electronic travel authorization application submitted by you or on your behalf.
Consent*
I agree to the disclaimer
Personal Details
Please provide all responses in English unless directed otherwise. Required fields are indicated by a red asterisk *.
Surname/Last Name*
Please use only English characters
Given/First Name*
Please use only English characters
Date of Birth*

DD
MM
YYYY
City of Birth*
Please use only English characters
Country of Birth*
Gender*
- Male
- Female
National Identification Number (This is NOT your Passport Number)*
This number can be found on your ID Card.

Travel Document Details
Provide details of the passport that you will use to enter the United States of America. Enter these details exactly as they appear in your passport.
Country of Passport*
Passport Number*
Passport Date of Issue*
Date Format: DD slash MM slash YYYY
Date of Passport Expiration*
Date Format: DD slash MM slash YYYY

*If your passport is expiring within 6 months, you will need to renew your passport before you can enroll for an EVUS.
Do you have a 10-year U.S. Visitor Visa (B1, B2, or B1/B2)?*
- Yes
- No
In order to Enroll your EVUS you first need to have a valid 10 year Visa.
B1/B2 Visa Foil Number (Red Characters on your U.S. Visa)*
Enter your Visa Foil Number as it appears on your U.S. Visa. This is the Visa Foil Number in red on your U.S. Visa.
Is your U.S. Visa attached to an expired passport?*
- Yes
- No
If you answered Yes to this question, continue to next step in the EVUS enrollment process. If you answered No to this question, you will need to continue answering the following questions. Please use the passport that contains your U.S. B1, B2, or B1/B2 Visa and enter the Passport Number, Surname, Given Name, Passport Country of Issuance, Date of Birth, Passport Issuance Date, and Passport Expiration Date.

Passport Containing U.S. Visa Information
If you answered 'NO' to the previous question, please provide information about the passport that contains the U.S. B1, B2, or B1/B2 Visa.
Expired Passport Number containing U.S. Visa*
Country of Expired Passport*
Expired Passport Issue Date*
Date Format: DD slash MM slash YYYY
Expired Passport Expiration Date*
Date Format: DD slash MM slash YYYY
Surname/Last Name shown in Expired Passport*
Please use only English characters
Given/First Name shown in Expired Passport*
Please use only English characters
Date of Birth shown in Expired Passport*

DD
MM
YYYY

Employment Information
Are you currently employed?*
- Yes
- No
Employer Name*
Please use only English characters
Job Title (Optional)
Employer Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please use only English characters

Travel Information
Is your travel to the US occurring in transit to another country?*
- Yes
- No
Full Name of Hotel/Business/Friend or Relatives to be visited in the U.S.*
Please use only English characters. 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.
Address of Hotel/Business/Friends or Relatives in the U.S.*
In the Address Line 1 field, enter the number and street of your US point of contact's address. Do not include the city and state in this field. Address line 1 is required to complete the application. You may also enter UNKNOWN.
City of Hotel/Business/Friends or Relatives in the U.S.*
State of Hotel/Business/Friends or Relatives in the U.S.*
Hotel/Business/Friends Phone Country Code*
Phone Number of Hotel/Business/Friends or Relatives in the U.S.*
Emergency Contact Information
Emergency Contact Name*
First Last
Please use only English characters
Emergency Contact Email*
Emergency Phone Country Code*
Emergency Contact Phone*

Applicant Disclosure
I understand that EVUS Enrollment LLC employs technology to prevent unauthorized access to the information I have entered, and viewed, in order to comply with the Payment Card Industry Data Security Standards (PCI DSS) which is mandated by all major credit card companies, such as: AMEX, Visa, Mastercard, and Discover. I understand this web site operates under the rules and regulations as specified by the United States Privacy Act, and this Privacy Statement, to insure the security of my information. I understand that my information, under these protections, will not be shared, or sold, to any other entity, or third-party, and are to be solely used for review, and enrollment, by any authorized EVUS Enrollment LLC personnel. EVUS Enrollment LLC web sites will disclose your personal information, with or without notice, only if required to do so by law or in the good faith belief that such action is necessary to.*
- I agree.
I understand that Evusenrollment LLC is an agency that reviews and enrolls my application to the Official eVUS electronic Visa Update System.*
- I agree.
I declare that the information given in this application is truthful, complete, and correct. I have read, understood, and agree to the Terms and Conditions, Privacy Policy, and Refund Policy. I certify, and authorize, my payment and should I declare a fraudulent chargeback, I understand that any EVUS application I have submitted will be canceled and reported.*
- I agree.

EVUS Enrollment
E-Signature of Applicant*
First Last
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Total (USD$)
$0.00

Evus Enrollment