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. Family Name:
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1. 姓:
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2. First Name
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2. 名
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3. Middle Initial
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3. 中间名
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4. Date of Birth: (Day/Month/Year)
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4. 出生日期: 日/月/年
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5. Airline/Flight No. :
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5. 航空公司/航班号:
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6. Number of family members traveling with you
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6. 与你同 行的家庭成员人数:
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7. (a)Country of Citizenship:
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7.(a)国籍:
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7. (b)Country of Residence:
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7. (b)所居住国家:
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8. (a) U.S. Address (Street Number/Hotel/Mailing Address to U.S.):
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8.(a)在美国地址(街道地址/旅馆/在美国的通讯地址):
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8. (b) U.S. Address (City):
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8.(b)在美国地址(城市):
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8. (c) U.S. Address (State):
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8.(c)在美国地址(州):
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9. Countries visited on this trip prior to U.S. arrival
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9. 在到达美国之前此行所访问过的国家
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10. The purpose of my trip is or was
BUSINESS Personal
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10. 此次旅程的目的是
商务 个人
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11. I am (we are) bringing fruits, plants,
meats, food, soil, birds, snails, other
live animals, farm products; or, have been on a farm or ranch outside
the U.S. :
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YES NO
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11. 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
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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 equiralent.
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YES NO
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12. 我(我们)携带了超过一万美金或等值的外国货币或有价证券
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是 否
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13. I have (we have) commercial merchandise, U.S.
or foreign:(Check one box only)
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YES NO
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13. 我(我们)携带了美国或外国商品:(只能在一个方框内打勾)
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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. 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
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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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