Applicant information

Please provide your Given Name(s) (also known as "First Name") exactly as shown on your passport or identity document. First Name* ?

Enter your First Name as shown on your passport This field is required.

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* ?

Enter your Family Name as shown on your passport This field is required.

Gender*

Female Male Select one of the options

In the Birth Date field, chose the day on which you were born. The day of birth is required to complete the application Birth Date* ?

Select a correct date

Contact Information

Enter the e-mail address at which you can be contacted. The e-mail address is required to complete the application. If you do not have an e-mail address, you may provide an alternative third-party e-mail address belonging to a point of contact (e.g. a family member, friend or business associate). E-mail Address* ?

The email is not correct

Your email does not match

The telephone number is required to complete the application. If you do not have a telephone number, you may provide an alternative third-party telephone number where you can be contacted (e.g. a family member, friend, or business associate). Telephone Number* ?

This field is required.

In the Address Line 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 is required to complete the application. Address Line* ?

This field is required.

Employment Information

Do you have a current or previous employer?*

Yes No Select one of the options

Job Title* This field is required.

Enter the name of your current employer. If you are not currently employed, enter the name of your previous employer. Employer name is required to complete the application. You may also enter SELF-EMPLOYED, STUDENT, CHILD, HOMEMAKER, STAY-AT-HOME PARENT, or any other word to describe your employment status. Employer Name* ?

This field is required.

Travel Information

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

Yes No Select one of the options

A U.S. point of contact may be a friend, relative, or business associate. If you do not have a Korea 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. South Korea Point of Contact ?

This field is required.

In the Address Line field, enter the city and street of your Korea point of contact's address, number and postal code. You may also enter UNKNOWN. Address ?

This field is required.

In the contact number in Korea field, enter the contactable information of the expected place to stay (hotel, guesthouse etc). Contact number in Korea* ?

This field is required.

Passport Information*

Choose the country of citizenship, as it appears on your passport. The country of citizenship is required to complete the application. Country Passport* ?

Select one option

National Identification Number* This field is required.

Choose the country of citizenship, as it appears on your passport. The passport issuing country is required to complete the application. Issuing Country* ?

Select one option

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* ?

This field is required.

Your passport number do not match

In the Day field, choose the day on which your passport was issued, as it appears on your passport under the Date of Issue field. The day on which the passport was issued is required to complete the application. In the Month field, choose the month in which your passport was issued, as it appears on your passport under the Date of Issue field. The month in which the passport was issued is required to complete the application. In the Year field, choose the year in which your passport was issued, as it appears on your passport under the Date of Issue field. The year in which the passport was issued is required to complete the application. Passport Date of Issue* ?

Select a correct date

In the Day field, choose the day on which your passport expires, as it appears on your passport under the Expiration Date field. The day on which the passport expires is required to complete the application. In the Month field, choose the month in which your passport expires, as it appears on your passport under the Expiration Date field. The month in which the passport expires is required to complete the application. In the Year field, choose the year in which your passport expires, as it appears on your passport under the Expiration Date field. The year in which the passport expires is required to complete the application. Expiration date* ?

Select a correct date

Please select if you are also a national or citizen of another country other than the nationality of your passport*

Yes No Select one of the options

In the Country field, choose the country. The country is required to complete the application. Country of Citizenship / Nationality* ?

Select one option

Please indicate how did you acquired citizenship/nationality. How did you acquire citizenship / nationality from this country?* ?

UPLOAD YOUR STANDARD OF PORTRAIT PHOTO

Please upload an ID photo of yourself that clearly shows your face to continue with your K-ETA Application Please upload an ID photo of yourself that clearly shows your face to continue with your K-ETA Application ?

(File types for uploading are limited to pdf, gif, png, jpg and jpeg.) This field is required.

Do any of the following apply to you? (Change to Yes if applicable)

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 (communicable diseases are specified pursuant to section 361(b) of the Public Health Service Act):

Cholera
Difteria
Infectious tuberculosis
Plague
Smallpox2
Yellow fever
Viral Hemorrhagic Fevers, including Ebola, Lassa, Marburg virus disease, Crimean-Congo
Severe acute respiratory illnesses capable of transmission to other persons and likely to cause mortality

*You will be able to continue only if the selection is no.