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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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海关申报表 |
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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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每位入关的旅游者或一家之主必须提供以下数据 (一个家庭只须申报一份)： |
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1. Family Name ________First (Given)________ Middle________ |
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1. 姓氏 ________名字_______ 中间名________ |
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2. Birth date |
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2. 出生日期： |
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____Day____Month____Year |
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____日____ 月____年 |
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3. Number of family members traveling with you: |
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3. 与你同行的家庭成员人数： |
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4. U.S. Address: |
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4. 在美地址： |
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5. Passport issued by (country) |
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5. 护照发照(国家) |
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6. Passport Number |
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6. 护照号码 |
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7. Country of Residence |
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7. 居住国家 |
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8. Countries visited on this trip prior to U.S. arrival |
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8. 到美国前造访过的国家 |
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9. Airline/Flight No: |
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9. 航空公司/航班号： |
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10. The primary purpose of this trip is business. ○YES ○ NO |
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10. 此次旅程的主要目的是商务？○ 是 ○ 否 |
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11. 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. |
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YES ○ NO ○ |
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11. 您携带水果、植物、肉类、食品、土壤、鸟类、蜗牛、其它动物和农产品，或您一直居住在美国以外的农村或牧场吗？ |
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是 ○ 否 ○ |
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12. I am/we are carrying currency or monetary instruments over $10000 U.S. or the foreign equivalent. |
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YES ○ NO ○ |
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12. 您携带现金或珍贵物品，其价值超过一 万美金或相当于一万美金的外币吗？ |
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是 ○ 否 ○ |
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13. I have (We have) commercial merchandise? (articles for sale, samples used for soliciting orders, or goods that are not considered personal effects.) |
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YES ○ NO ○ |
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13. 您有携带任何商品吗？(贩卖之商品、订购之样本等任何非属私人之物品) |
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是 ○ 否 ○ |
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14. The total value of all goods I/we purchased or acquired abroad and am/are bringing to the U.S. is (see instructions under Merchandise on reverse side; visitors should report value of gifts only):$___________________ U.S. Dollars |
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14. 您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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I have read the important information on the reverse side of this form and have made a truthful declaration. |
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我已阅读过这表格背面之重要须知，并据实以报。 |
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SIGNATURE________________ |
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签名________________ |
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Date________________ |
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日期________________ |
