U.S. Department of Justice
OMR 1115-4077
Immigration and Naturalization service
美国司法部
OMR 1115-407
移民局
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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
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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
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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.
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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.
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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.
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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
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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)
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Departure Number
697385031 01 离境号码
697385031 01
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Immigration and Naturalization Service 移民局
I-94
Departure Record I-94
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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
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美国海关申报表(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
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Each arriving traveler or head of family must provide
the following information (only ONE written declaration
per family is required): 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. Name: 1. 姓名:
LastFirst Middle Initial 姓名中间名
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2. Number of family members traveling with you 2.
与你同 行的家庭成员人数:
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3. Date of Birth: 4. Airline/Flight: 3. 出生日期: 4. 航空公司/航班号:
MonthDayYear 月日年
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5. U.S. Address: 5. 在美居住地址:
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6. I am a U.S. CitizenYESNO 6. 你是一个美国公民吗是否
If No, Country: 如果不是, 你是那个国家的公民
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7. I reside permanently in the U.S. YESNO 7. 你是在美国永久居留吗是否
If No, Expected Length of Stay: 如果不是, 预期停留多久:
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8. The purpose of my trip is or was BUSINESSPLEASURE
8. 此次旅程的目的是 商务旅游
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9. 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.
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
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10. I am/we are carrying currency or
monetary instruments over $10000
U.S. or the foreign equiralent. YES NO
10. 你携带现金或珍贵物品, 其价值超过一万美金或相当于一万美金的外币吗 是否
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11. The total value of all goods I/we purchased or
acquired abroad and am/are bringing to the U.S. is
(see instructions under Merchandise on reverse side;
visitors should report value of gifts
only):$___________________ 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
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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
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