海关申报表-中文版

海关申报表〈中英文对照〉：

Each arriving traveler or head of family must provide the following information (only ONE written declaration per family is required):

每一位入境美国的游客或一家之主必须提供以下数据 (一个家庭只须申报一份):

1. Family Name姓:______ First(Given)名 ______ Middle中间名 ______

2. Birth date出生日期： Day日 ________ Month月 ________ Year年 ________

3. Number of family members traveling with you〈与你同行的家庭成员人数〉:

4. a. U.S. street address (hotel name/destination)：〈在美居住地址(旅馆名称/目的地〉:

　b. City 〈城市〉

c. State 〈州〉

5. Passport issue by (country)：〈发护照国家〉

6. Passport number：〈护照号码〉

7. Country of Residence：〈居住国家〉

8. Countries visited on this trip prior to U.S. arrival：〈此次旅游时来美国之前去过的国家〉

9. Airline/Flight No. or Vessel Name: 〈航空公司/班机号码或船名〉:

10. The primary purpose of this trip is BUSINESS ○ YES ○NO〈此次旅程的目的主要是商务 ○ 是 ○否〉

11. I am (We are) bringing： 〈我(我们)携带〉：

a. fruits, vegetables, plants, seeds, food, insects: Yes No〈水果，植物，食物或昆虫？是 否〉

b. meats, animals, animal/wildlife products： Yes No 〈肉类、动物或动物/野生动物制品？ 是 否〉

c. disease agents, cell cultures, snails：Yes No 〈带病原体、细胞培养或蜗牛？ 是 否〉

d. soil or have been on a farm/ranch/pasture：Yes No 〈土壤或你曾经去过美国境外的农场或牧场吗？是 否〉

12. I have (We have) been in close proximity of (such as touching or handling) livestock outside：Yes No〈我有(我们有)靠近(如触碰或接触)牲畜○ 是 ○否？〉

13. I am (We are) carrying currency or monetary instruments over $10,000 U.S. or the foreign equivalent. ○ YES ○NO

〈你携带现金或财物品，其价值超过一万美金或相当于一万美金的外币吗？ ○是 ○否〉

14. I have (We have) commercial merchandise: (article for sale, samples used for soliciting orders, or goods that are not considered personal effects)○ YES ○NO〈我(我们)有携带商品：(贩卖物品、商业样品或任何不属于个人所有的物品)○是 ○否〉

15. Residents - the total value of all good, including commercial merchandise I/We have purchased or acquired abroad, (including gifts for someone else, but not items mailed to the U.S.) and am/are bringing to the U.S. is:〈美国居民- 我们带入美国所有物品(包含商品及礼品，但不包含邮寄入美国的物品)的总价值为：〉

Visitors - the total value of all article that will remain in the U.S., including commercial merchandise is: 〈观光客- 将留在美国境内的物品价值为(包含商品)：

Read the instruction on the back of this form. Space is provided to list all the items you must declare.〈请阅本表读背面的说明，请将须申报的物品在空格内列出〉

I HAVE READ THE IMPORTANT INFORMATION ON THE REVERSE SIDE OF THIS FORM AND HAVE MADE A TRUTHFUL DECLARATION. 〈我已阅读过背面的说明，且已就实申报〉

Signature; Date (day/month/year)〈签名及日期(日/月/年)

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