eTicket Dominican Republic - Application (Arrival Only)

Please complete all mandatory fields (marked with red asterisk *)

In this form you will complete application for Arrival eTicket only

For Arrival and Departure application form please click here

For Departure only application form please click here

Arrival

Permanent Address:*

Country of Residence:*

City:*

State (ex: New York):*

Postal code or zip code:*

Do you make stops in other countries on your way to Dominican Republic?*

Yes

First Name and Last Name (exactly as they appear on your passport):*

Date of Birth:*

Year:*

Month:*

Day:*

Gender:*

Place of birth:*

Is the nationality of the passport different from your place of birth?*

Yes

Passport Number:*

Civil Status:*

Occupation:*

Email:*

Telephone Number*
(Include + and the country code. Example +17035555678):

Are you a foreigner resident in the Dominican Republic?*

Yes

Where you will be staying in the Dominican Republic?*

Embarkation Port (Departure Airport):*

Disembarkation Port (Arrival Airport, for transit pick "other"):*

Airline Name/Company:*

Flight Date:*

Year:*

Month:*

Day:*

Flight Number:*

Flight Confirmation Number/PNR: (Optional)

Travel Purpose:*

Days of Staying:*

Do you plan on practicing any of the following sports during your stay?*

Customs Information

DO YOU BRING OR BRING WITH YOU OR IN YOUR LUGGAGE (S), CURRENCY VALUES OR ANOTHER PAYMENT INSTRUMENT, AN AMOUNT IN EXCESS OF USD $ 10,000.00 OR ITS EQUIVALENT IN ANOTHER ( S) TYPE (S) OF CURRENCY (S)?*

DO YOU BRING WITH YOU OR IN YOUR LUGGAGE LIVE ANIMALS, PLANTS OR FOOD PRODUCTS?*

DO YOU BRING WITH YOU OR IN YOUR BAGGAGE GOODS SUBJECT TO TAX PAYMENT?*

I confirm that the answers and information in this application are true and correct to the best of my knowledge and belief. I further confirm that I have read and agree with the ''Terms & Conditions" of eticketdominicanrepublicform.com*

Application Form (Arrival Only)

Arrival

Customs Information