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1 Personal and Travel Information
2 Confirm your details
3 Payment method
Please provide all responses in English

Flight Data

Arrival Date ?
Select a correct date
Departure - Hours ?
Select one option
Departure - Minutes ?
Select one option
Departure AM or PM ?
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Flight Origin City ?

This field is required.
Destination City of Flight ?

This field is required.
Airline ?

This field is required.
Flight Number ?

This field is required.

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). ?
The email is not correct
Your email does not match
This field is required.

Permanent Address

Please indicate the country of residence. ?
Select one option
Enter the name and street number of your destination residential address. ?
This field is required.
Zip Code ?
This field is required.

Personal Information

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

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. ?

Enter your Family Name as shown on your passport This field is required.
In the Birth Date field, chose the day on which you were born. The day of birth is required to complete the application ?
Select a correct date
In the Country field, choose the country. The nationality is required to complete the application. ?
Select one option

Select one of the options
What countries OTHER THAN Mexico have you visited in the last 14 days?
This field is required.
During the last 14 days, did you, or any of your companions have close contact with someone with symptoms suggesting COVID-19 infection?

Select one of the options
During the last 14 days, have you or any of your companions had a diagnostic test for COVID-19 with a positive result?

Select one of the options
During the last 14 days, have you had one or more of the following symptoms?

Fever, Dry Cough, Loss of Smell, Loss of Taste, Fatigue, Sore Throat, Difficulty Breathing, None This field is required.

Declaration of Applicant