
WELCOME TO THE UNITED STATES |
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欢迎来到美国 |
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DEPARTMENT OF THE TREASURY
UNITED STATES CUSTOMS SERVICE |
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财政部
美国海关署 |
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| CUSTOM DECLARATION |
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海关申报 |
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| Each arriving traveler or head of family must provide the following information (only ONE written declaration per family is required): |
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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): |
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| 1. Name: |
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1. 姓名: |
Last First Middle Initial |
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姓 名 中间名 |
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| 2. Number of family members traveling with you |
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2. 与你同 行的家庭成员人数: |
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3. Date of Birth: 4. Airline/Flight: |
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3. 出生日期: 4. 航空公司/航班号: |
Month Day Year |
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月 日 年 |
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| 5. U.S. Address: |
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5. 在美居住地址: |
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6. I am a U.S. Citizen YES NO |
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6. 你是一个美国公民吗 是 否 |
If No, Country: |
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如果不是, 你是那个国家的公民: |
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7. I reside permanently in the U.S. YES NO |
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7. 你是在美国永久居留吗 是 否 |
If No, Expected Length of Stay: |
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如果不是, 预期停留多久: |
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8. The purpose of my trip is or was
BUSINESS PLEASURE |
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8. 此次旅程的目的是
商务 旅游 |
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9. I am/we are bringing fruits, plants,
meats, food, soil, birds, snails, other
live animals, farm products, or I/we have been on a farm or ranch outside
the U.S. |
YES NO |
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9. 你携带水果, 植物, 肉类, 食品, 土壤, 鸟类, 蜗牛, 其他动物和农产品, 或你 一直居住在美国以外的农村或牧场吗 |
是 否 |
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10. I am/we are carrying currency or
monetary instruments over $10000
U.S. or the foreign equiralent. |
YES NO |
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10. 你携带现金或珍贵物品, 其价值超过一 万美金或相当于一万美金的外币吗 |
是 否 |
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11. The total value of all goods I/we purchased or
acquired abroad and am/are bringing to the U.S.
is (see instructions under Merchandise on
reverse side; visitors should report value of gifts
only): $___________________ U.S. Dollars |
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11. 你境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 |
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| SIGN ON RESERSE SIDE AFTER YOU READ WARNING.(Do not write below this line.) |
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在你阅读警告之后请在背面签字
(不要在此线下面签字) |
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| INSPECTOR’S NAME STAMP AREA |
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检察员姓名 盖章区域 |
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| BADGE NO |
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徽章号码 |
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