| 美国海关出入境登记表 ( I-94 FORM ) ( 中英文对照 ) |
U.S. Department of
Justice
OMR 1115-4077
Immigration and Naturalization service |
美国司法部
OMR 1115-407
移民局 |
| |
| Welcome to the United State |
欢迎来到美国 |
Admission
Number
697385031 01 |
登记号码 (*举例说明)
697385031 01 |
| I-94 Arrival/Departure Record-Instructions |
I-94 入境/离境记录说明 |
| This form must be completed by all persons except U.S. citizens, returning resident aliens with immigrant visas, and Canadian Citizens visiting or in transit. |
除了美国公民, 美国海外侨民, 永久居民和加拿大公民外, 所有访问 或过路的人士都必须填写此表 |
| Type or print legibly with pen in ALL CAPITAL LETTERS. Use English. Do not write on the back of this form. |
请用大写字母打字或用钢笔或用圆珠笔清楚填写. 请用英文填写. 不要 在此表背面填写任何东西. |
| This form is in two parts. Please complete both the Arrival Record (Item 1 through 13) and the Departure Record (Item 14 through 17). |
此表包括两部分, 请填写入境记录 (第1项至第13项)和离境记录(第 14项至第17项)两部分. |
| When all items are completed, present this form to the U.S. Immigration and Naturalization Service Inspector. |
填写完毕后, 请将此表交给美国移民局官员. |
| Item 7 – If you are entering the United States by land, enter LAND in this space. If you are entering the United States by ship, enter SEA in this space. |
第7项内容说明 – 如果你从陆地进入美国, 请在空格内填写LAND, 如果 你乘船进入美国, 请在空格内填写SEA. |
| Form I-94(10-01-85)N |
I-94表 (10-01-85)N |
Admission
Number
697385031 01 |
登记号码
697385031 01 |
| Immigration and Naturalization Service |
移民局 |
| |
I-94
Arrival Record |
I-94
入境记录 |
| 1. Family Name |
1. 姓 |
| 2. First (Given) Name |
2. 名 |
| 3. Birth Date(Day/Mo/Yr) |
3. 生日(月/日/年) |
| 4. Country of Citizenship |
4. 哪个国家公民 |
| 5. Sex (Male or Female) |
5. 性别(男填MALE或女填FEMALE) |
| 6. Passport Number |
6. 护照号码 |
| 7. Airline & Flight Number |
7. 航空公司和航班号 |
| 8. Country Where You Live |
8. 你在哪个国家生活 |
| 9. City Where You Boarded |
9. 你在那个城市降落 |
| 10. City Where Visa Was Issued |
10. 在哪个城市得到签证 |
| 11. Date Issued (Day/Mo/Yr) |
11. 得到签证的日期(日/月/年) |
| 12. Address While in the United State (Number and Street) |
12. 在美国的住址(门牌号及街名) |
| 13. City and State |
13. 在美国的住址(市名及州名) |
Departure
Number
697385031 01 |
离境号码
697385031 01 |
| Immigration and Naturalization Service |
移民局 |
I-94
Departure Record |
I-94
离境记录 |
| 14. Family Name |
14. 姓 |
| 15. First (Given) Name 16. Birth Date(Day/Mo/Yr) |
15. 名 16. 生日(日/月/年) |
| 17. County of Citizenship |
17. 哪个国家公民 |
| 美国海关申报/Custom Declaration Form (中英文对照) |
| 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 |
| |
1. Name:
Last First Middle Initial |
1. 姓名:
姓 名 中间名 |
| 2. Number of family members traveling with you |
2. 与你同行的家庭成员人数: |
3. Date of Birth:
Month Day Year |
3. 出生日期:
月 日 年 |
| 4. Airline/Flight: |
4. 航空公司/航班号: |
| 5. U.S. Address: |
5. 在美居住地址: |
6. I am a U.S. Citizen
YES NO
If No, Country: |
6.
你是一个美国公民吗 是 否
如果不是, 你是那个国家的公民: |
7. I reside permanently in the U.S.
YES NO
If No, Expected Length of Stay: |
7.
你是在美国永久居留吗 是 否
如果不是, 预期停留多久: |
8. The purpose of my trip is or was
BUSINESS PLEASURE |
8.
此次旅程的目的是
商务旅游 |
| 9. I am/we are bringing fruits, plants,meats, food, soil, birds, snails, otherlive animals, farm products, or I/we have been on a farm or ranch outsidethe U.S. |
YES NO |
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 |
| 10. I am/we are carrying currency ormonetary instruments over $10000U.S. or the foreign
equiralent. |
YES NO |
10. 你携带现金或珍贵物品, 其价值超过一万美金或相当于一万美金的外币吗 |
是 否 |
| 11. The total value of all goods I/we purchased or acquired abroad and am/are bringing to the U.S. is (see instructions under Merchandise on reverse side; visitors should report value of gifts only):$___________________ U.S. Dollars |
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 |
| |
| 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
|