
| 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 | 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 | 离境号码 |
| 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 | ||
