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"J-1", a non-immigrant visa issued by the United States to **exchange** visitors participating in programs that promote cultural exchange, especially to obtain medical or business training within USA.

6 votes

Travel to USA if visa is issued in other country

You can travel to the USA from wherever you want, the country where your visa was issued is not important.
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8 votes

I have an approved ESTA but then realised I need a visa J1

You don't need to "cancel" your ESTA. When you arrive to the US, you'll need to tell the CBP (immigration) officer that you're coming for your exchange studies/work and present the J visa in your pass …
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