ETIS - Official platform

Specific travel conditions applicable for any traveler to French Polynesia.
From Februrary 3rd, 2021, any traveler whatever his origin will have to present before boarding as well at his arrival :
- a certificate of derogatory travel
- a sworn declaration of no symptoms and submission to the rules for entry into the territory.
The models of these documents can be downloaded via the buttons below.

Certificate of derogatory level Download the file

Sworn declaration Download the file

List of compelling motives Download the file

By checking this box, I commit myself to fill in the certificate of derogatory travale and the sworn declaration required to go to French Polynesia.

Please tick the commitment box to go to the next step

Resident

Please select your status to continue the process. One form per adult is required.
Only one form must be completed for minors and the adult responsible for them.
If you are going to French Polynesia to live there, click on the RESIDENT button.

If it is not your first application, please ensure that the old application is no longer valid. Otherwise, please delete it by clicking on "Manage my life". We remind you that the ETIS formality engages the registrant’s responsibility. We ask that you please pay the greatest attention to your application and remind you that criminal penalties may be incurred in the event of forgery. Travelers are strongly recommended to limit social interactions as much as possible after the RT-PCR test done 3 days before departure and pending the results of the self-test carried out 4 days after entering the territory. Article 441-1 of the penal code: Forgery is defined as any fraudulent alteration of the truth, likely to cause damage and accomplished by any means whatsoever, in writing or any other means of expression of thought whose purpose or potential effect is to establish proof of a right or fact with legal consequences. Forgery and the use of forged documents are punishable by three years' imprisonment and a fine of 45,000 euros. Article 441-9 of the penal code: Regardless of the cases provided for in this chapter, the following is punishable by one year of imprisonment and a fine of 15,000 euros for: 1 ° Issuing an attestation or certificate stating materially inaccurate facts; 2 ° Falsifying an attestation or certificate which was originally accurate; 3 ° Making use of an inaccurate or falsified attestation or certificate. The penalties are increased to three years' imprisonment and a fine of 45,000 euros when the offense is committed either with the intent to jeopardize the Public Treasury or the patrimony of others, or with the intent to obtain a residence permit or the benefit of protection against removal.

Personal information Non-resident

All fields must be completed in order to proceed to the next step of the online form. Please complete them as requested. If you are traveling with one or more passengers under the age of 18, please enter their personal information. If your child is traveling alone as UM (Unaccompanied Minor), please identify yourself as declarant and enter your child's information second. Indicate that you are not traveling with your child and the receipt will be issued in his/her name.

(Mandatory fields are marked with a red asterisk *)

Declarant

Last name

This field is required Numbers and special characters are not allowed

First name(s)

This field is required Numbers and special characters are not allowed

Gender

Female

Male

This field is required

Date of Birth

Day

This field is required

Month

This field is required

Year

This field is required

You must be over 18 years old to proceed

If it is not your first application, please ensure that the old application is no longer valid. Otherwise, please delete it by clicking on "Manage my file”.

Passport

This field is required Numbers and special characters are not allowed Maximum of 10 characters Minimum 6 characters

Nationality

This field is required

Country of residence

This field is required

Mobile phone number

This field is required

This field is required Type only numbers

In which country have you been in the last 30 days?

This field is required Accents and special characters are not allowed Maximum of 250 characters

E-mail address

This field is required This email address is invalid

I'm not traveling to French Polynesia. I am only declaring child(s) under 18 years old flying to French Polynesia.

Person to contact in case of emergency*

Last name

This field is required Numbers and special characters are not allowed

First name

This field is required Numbers and special characters are not allowed

Mobile phone number

This field is required

This field is required Type only numbers

Children << $index +1 >> (- 18 years old)

Last name

This field is required Numbers and special characters are not allowed

First name(s)

This field is required Numbers and special characters are not allowed

Date of Birth

This field is required

Age must be less than 18

Passport No.

This field is required Numbers and special characters are not allowed Maximum of 10 characters Minimum 6 characters

Congratulations ! Your email has been successfully verified !

Health registration Non-resident

Please read the conditions that must be met in order to obtain a boarding authorization to French Polynesia, and check the boxes to confirm your commitment.

Itinerary in Polynesia 1/2 Non-resident

To protect your health and that of others, we ask that you give us information about your travel and stay itineraries. Polynesian health authorities can consult this information at any time and contact you if necessary. The information collected will be stored in accordance with applicable GDPR laws and will only be used for the protection of Public Health and epidemiological research. If your itineraries are likely to change within a period of 40 days after arrival in French Polynesia, you can modify them, even if you already received the ETIS receipt, by clicking on "manage my life".

Arrival

Arrival date

Day

This field is required

Month

This field is required

Year

This field is required

The request must be done within 3 days before the flight departure.

Flight number Example of flight n° : XX001

This field is required 2 uppercase letters followed by 1 to 4 digits Maximum of 10 characters

Other transport mode

Departure

Departure date

Day

This field is required

Month

This field is required

Year

This field is required

The departure date must be greater thant arrival date

Flight number Example of flight n° : XX001

This field is required 2 uppercase letters followed by 1 to 4 digits Maximum of 10 characters

Other transport mode

Other departure mode (specify)

Itinerary in Polynesia 2/2 Non-resident

Please indicate all stages of your stay in French Polynesia. Each change of island or accommodation is a new stage.

Step << $index + 1 >>

Visited island

This field is required

Accomodation

This field is required

Arrival date

Day

This field is required

Month

This field is required

Year

This field is required

The selected date must be within the chosen period

Departure date

Day

This field is required

Month

This field is required

Year

This field is required

The departure date must be greater thant arrival date

The selected date must be within the chosen period

Contact phone

Numbers and special characters are not allowed

Data verification

Any information you submit or that is sent on your behalf by a designated third party must be truthful and accurate.

Declarant

Last name

<< applicantform.user_non_resident_citizen['lastName'] >>

First name(s)

<< applicantform.user_non_resident_citizen['firstName'] >>

Gender

Female Male

Date of Birth

<< applicantform.user_non_resident_citizen['dateOfBirth']['day'] >> << monthrange[applicantform.user_non_resident_citizen['dateOfBirth']['month']-1] >> << applicantform.user_non_resident_citizen['dateOfBirth']['year'] >>

Passport number

<< applicantform.user_non_resident_citizen['passport'] >>

Nationality

<< pays[applicantform.user_non_resident_citizen['nationality']].label >>

Country of residence

<< pays[applicantform.user_non_resident_citizen['country']].label >>

Mobile Phone Number

<< phonecodepays[applicantform.user_non_resident_citizen['phonePrefix']] >> << applicantform.user_non_resident_citizen['phone'] >>

In which country have you been in the last 30 days?

<< applicantform.user_non_resident_citizen['countryStayedLastDays'] >>

Email address

<< applicantform.user_non_resident_citizen['email'] >>

Person to contact in case of emergency*

Last name

<< applicantform.user_non_resident_citizen['emergencyLastName'] >>

First name(s)

<< applicantform.user_non_resident_citizen['emergencyFirstName'] >>

Mobile Phone Number

<< phonecodepays[applicantform.user_non_resident_citizen['emergencyPhonePrefix']] >> << applicantform.user_non_resident_citizen['emergencyPhone'] >>

Children << $index + 1 >> (- 18 years old)

Last name

<< applicantform.user_non_resident_citizen['attendants'][$index]['lastName'] >>

First name(s)

<< applicantform.user_non_resident_citizen['attendants'][$index]['firstName'] >>

Date of Birth

<< applicantform.user_non_resident_citizen['attendants'][$index]['dateOfBirth']['day'] >> << monthrange[applicantform.user_non_resident_citizen['attendants'][$index]['dateOfBirth']['month']-1] >> << applicantform.user_non_resident_citizen['attendants'][$index]['dateOfBirth']['year'] >>

Passport number

<< applicantform.user_non_resident_citizen['attendants'][$index]['passport'] >>

Health registration

I, the undersigned, Mr. / Mrs:

Declare to have tested negative for SARS-CoV-2 virus in genome detection MOLECULAR test (e.g., the RT-PCR test of SARS-CoV-2) performed within 3 days before my flight.

Certify that all minors in my family, who are traveling with me, if that is the case, have tested negative for SARS-CoV-2 virus in genome molecular detection test (e.g., the RT-PCR test of SARS-CoV-2) performed within 3 days before the flight.

Certify that I do not present any symptoms suggestive of COVID-19* at boarding, or that I will report its presence if it is the case. (*fever, dry cough, tiredness, body ache, sore throat, diarrhea, conjunctivitis, headache, loss of smell or taste, rash, or discoloration of fingers or toes, difficulty breathing or shortness of breath).

Certify not to have been in contact in the 14 days before the departure to French Polynesia with a person confirmed as carrier of COVID-19

These declarations are validated by an individual medical result issued by a health authority in my country of residence (medical center, screening center, medical analysis laboratory) that I will present upon checking of my flight to my airline company. These information can be communicated to the health authorities of French Polynesia upon request.

I agree on my behalf, and on behalf of all minors in my family, to:

Please contact the health authorities of French Polynesia upon receipt of a positive RT-PCR of SARS-CoV test result. Phone : 40 45 50 00

Follow all preventive measures and safety instructions that have been given to me by the health services before boarding, during the flight, and after landing.

Call +689 40 45 50 00 in case of any symptom suggestive of COVID-19,* however minor. If any of the symptoms appear to be severe, call the SAMU directly at number "15", indicating that you have returned from an area of virus circulation (*fever, dry cough, tiredness, body ache, sore throat, diarrhea, conjunctivitis, headache, loss of smell or taste, rash, or discoloration of fingers or toes, difficulty breathing or shortness of breath [severity signs are based on the intensity of the symptom]).

Put myself at the disposal of the health monitoring system set by French Polynesia, which requires me to perform a self-test for SARS-Cov-2 virus. A kit with use instructions will be provided to you upon your arrival in French Polynesia.

Answer any requests from the French Polynesia Health Monitoring Office.

Travel insurance for anyone who is not French. If your insurance does not cover the costs in the event of a pandemic, you agree to assume all health costs incurred in French Polynesia, including in the event of infection with COVID-19. The ETIS form is proof of this.

I have been informed that in the event of non-compliance with these obligations, I am liable to criminal sanctions under the law in force in French Polynesia.

Itinerary in Polynesia

Arrival

Arrival date in French Polynesia

<< applicantform.user_non_resident_citizen['arrivalDate']['day'] >> << monthrange[applicantform.user_non_resident_citizen['arrivalDate']['month']-1] >> << applicantform.user_non_resident_citizen['arrivalDate']['year'] >>

Flight number

<< applicantform.user_non_resident_citizen['arrivalFlightNo'] >>

Departure

Departure date from French Polynesia

<< applicantform.user_non_resident_citizen['departureDate']['day'] >> << monthrange[applicantform.user_non_resident_citizen['departureDate']['month']-1] >> << applicantform.user_non_resident_citizen['departureDate']['year'] >>

Flight number

<< applicantform.user_non_resident_citizen['departureFlightNo'] >>

Other departure mode (specify)

<< applicantform.user_non_resident_citizen['otherDepartureMode'] >>

Step << $index + 1 >>

Visited island

<< islands[applicantform.user_non_resident_citizen['routes'][$index]['island']].label >>

Accomodation or boat name

<< applicantform.user_non_resident_citizen['routes'][$index]['accomodation'] >>

Arrival date

<< applicantform.user_non_resident_citizen['routes'][$index]['arrivalDate']['day'] >> << monthrange[applicantform.user_non_resident_citizen['routes'][$index]['arrivalDate']['month']-1] >> << applicantform.user_non_resident_citizen['routes'][$index]['arrivalDate']['year'] >>

Departure date

<< applicantform.user_non_resident_citizen['routes'][$index]['departureDate']['day'] >> << monthrange[applicantform.user_non_resident_citizen['routes'][$index]['departureDate']['month']-1] >> << applicantform.user_non_resident_citizen['routes'][$index]['departureDate']['year'] >>

Contact phone

<< applicantform.user_non_resident_citizen['routes'][$index]['contactPhone'] >>

You must keep the receipt of the health registration form with you at all time and wherever you go during your stay in French Polynesia.

I acknowledge having read the conditions of entry and stay in French Polynesia . I accept them and agree to respect them.

This field is required

I acknowledge having read and accept the sanitary treatment conditions if I have COVID-19 during my stay.

This field is required

I request an ETIS file number.

This field is required

*Article 441-1 of the Penal Code: Forgery consists of any fraudulent alteration of the truth liable to cause harm and made by any means in a document or other medium of expression of which the object is, or effect may be, to provide evidence of a right or of a situation carrying legal consequences. Forgery and the use of forgeries is punished by three years imprisonment and a fine of €45,000.

*Article 441-9 of the Penal Code: Except as otherwise provided in the present Chapter, a penalty of one year's imprisonment and a fine of €15,000 is incurred by: 1° Drafting an attestation or certificate stating materially inaccurate facts; 2° Forging an attestation or certificate which was originally genuine; 3° Using an inaccurate or forged written attestation or certificate. The penalty is increased to three years imprisonment and a fine of €45,000 where the offense was committed with a view to prejudice the Public Treasury or the estate of another person, or with a view to obtain a residence permit or the benefit of protection against expulsion.

Compliance to sanitary rules

The government of French Polynesia requires that social distancing and safe hygiene rules be observed. An individual self-test to be performed 4 days after your arrival in Tahiti will be given to you at the airport. Travelers are strongly recommended to limit social interactions as much as possible after the RT-PCR test done 3 days before departure and pending the results of the self-test carried out 4 days after entering the territory.