WELCOME TO THE UNITED STATES | 欢迎来到美国 | |
DEPARTMENT OF THE trEASURY UNITED STATES CUSTOMS SERVICE | 财政部 美国海关署 | |
CUSTOM DECLARATION | 海关申报 | |
Each arriving traveler or head of family must provide the following information (only ONE written declaration per family is required): | 每个入关的旅游者或一家之主必须提供如下资料 (一个家庭只须申报一份): | |
1. Family Name: | 1. 姓: | |
2. First Name | 2. 名 | |
3. Middle Initial | 3. 中间名 | |
4. Date of Birth: (Day/Month/Year) | 4. 出生日期: 日/月/年 | |
5. Airline/Flight No. : | 5. 航空公司/航班号: | |
6. Number of family members traveling with you | 6. 与你同 行的家庭成员人数: | |
7. (a)Country of Citizenship: | 属鼠和属牛7.(a)国籍: | |
7. (b)Country of Residence: | 7. (b)所居住国家: | |
8. (a) U.S. Address (Street Number/Hotel/Mailing Address to U.S.): | 8.(a)在美国地址（街道地址/旅馆/在美国的通讯地址）: | |||||||||
8. (b) U.S. Address (City): | 8.(b)在美国地址（城市）: | |||||||||
8. (c) U.S. Address (State): | 8.(c)在美国地址（州）: | |||||||||
9. Countries visited on this trip prior to U.S. arrival | 且以永日9. 在到达美国之前此行所访问过的国家 | |||||||||
10. The purpo of my trip is or was BUSINESS Personal | 10. 此次旅程的目的是 商务 个人 | |||||||||
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14. The total value of all goods I/we purchad or acquired abroad and am/are bringing to the U.S. is (e instructions under Merchandi on rever side; visitors should report value of gifts only): $___________________ U.S. Dollars地理题目 | 14. 我（我们）在国外购买或获得并带入美国所有物品总价值(参看背面商品栏目; 访问者只须申报礼品价值): $ _____________________________ 美元 | |||||||||
SIGN ON RESERSE SIDE AFTER YOU READ WARNING.(Do not write below this line.) | 在你阅读警告之后请在背面签字 (不要在此线下面签字) | |||||||||
INSPECTOR’S NAME STAMP AREA | 检察员姓名 盖章区域 | |||||||||
BADGE NO | 徽章号码 | |||||||||
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