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 美国司法部 OMR 1115-407
Immigration and Naturalization service移民局
Welcome to the United State
Admission Number
697385031 01
I-94 Arrival/Departure
Record-Instructions
This form must be completed by all persons除了美国公民, 美国海外侨民, 永久居民和except U.S. citizens, returning resident加拿大公民外, 所有访问 或过路的人士都必aliens with immigrant visas, and Canadian须填写此表
Citizens visiting or in transit.
Type or print legibly with pen in ALL 请用大写字母打字或用钢笔或用圆珠笔清楚CAPITAL LETTERS. Use English. Do not write填写. 请用英文填写. 不要 在此表背面填写on the back of this form. 任何东西.
This form is in two parts. Please complete此表包括两部分, 请填写入境记录 (第1项至both the Arrival Record (Item 1 through 13)第13项)和离境记录(第 14项至第17项)两部and the Departure Record (Item 14 through分.
17).
When all items are completed, present this填写完毕后, 请将此表交给美国移民局官员. form to the U.S. Immigration and
Naturalization Service Inspector.
Item 7 – If you are entering the United第7项内容说明 – 如果你从陆地进入美国, States by land, enter LAND in this space.请在空格内填写LAND, 如果 你乘船进入美If you are entering the United States by国, 请在空格内填写SEA.
ship, enter SEA in this space.
Form I-94(10-01-85)N
Admission Number
697385031 01 I-94表 (10-01-85)N 登记号码 697385031 01 欢迎来到美国 登记号码 (*举例说明) 697385031 01 I-94 入境/离境记录说明
Immigration and Naturalization Service移民局
I-94
Arrival Record
1. Family Name
2. First (Given) Name
3. Birth Date(Day/Mo/Yr)
4. Country of Citizenship
5. Sex (Male or Female)
6. Passport Number
7. Airline & Flight Number I-94 入境记录 1. 姓 2. 名 3. 生日(月/日/年) 4. 哪个国家公民 5. 性别(男填MALE或女填FEMALE) 6. 护照号码 7. 航空公司和航班号
8. Country Where You Live
9. City Where You Boarded
10. City Where Visa Was Issued
11. Date Issued (Day/Mo/Yr)
(Number and Street)
13. City and State
Departure Number
697385031 01
I-94
Departure Record
14. Family Name
15. First (Given) Name 16. Birth
Date(Day/Mo/Yr)
17. County of Citizenship
WELCOME TO THE UNITED STATES
CUSTOMS SERVICE
CUSTOM DECLARATION 8. 你在哪个国家生活 9. 你在那个城市降落 10. 在哪个城市得到签证 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. 在美国的住址(市名及州名) State of California 离境号码 697385031 01 I-94 离境记录 14. 姓 15. 名 16. 生日(日/月/年) 17. 哪个国家公民 欢迎来到美国 美国海关署 海关申报
1. 姓名:
姓 名 中间名 Immigration and Naturalization Service移民局 美国海关申报/Custom Declaration Form (中英文对照) DEPARTMENT OF THE TREASURY UNITED STATES财政部 1. Name: Last First Middle Initial
you
3. Date of Birth:
Month Day Year
4. Airline/Flight:
5. U.S. Address:
6. I am a U.S. Citizen YES NO
If No, Country:
7. I reside permanently in the
U.S. YES NO
If No, Expected Length of Stay:
8. The purpose of my trip is or was
BUSINESS PLEASURE
9. I am/we are
bringing fruits,
plants,meats, food,
soil, birds, snails,YES NO 8. 此次旅程的目的是 商务旅游 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, 或是 否 3. 出生日期: 月 日 年 4. 航空公司/航班号: 5. 在美居住地址: 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. 你是在美国永久居留吗 是 否 如果不是, 预期停留多久: 2. Number of family members traveling with2. 与你同行的家庭成员人数:
otherlive animals,
farm products, or
I/we have been on a
farm or ranch
outsidethe U.S.
10. I am/we are
carrying currency
ormonetary
instruments over
$10000U.S. or the
foreign equiralent. YES NO 你 一直居住在美国以外的农村或牧场吗 10. 你携带现金或珍贵物品, 其价值超过一万美金或相当于一万美金的外币吗 是 否
11. The total value of all goods I/we 11. 你境外购买或获得并带入美国所有物品purchased or acquired abroad and am/are 总价值(参看背面商品栏目; 访问者只须申报bringing to the U.S. is (see instructions礼品价
under Merchandise on reverse side;
visitors should report value of gifts
only):$___________________ U.S. Dollars值):$ _____________________________ 美元
SIGN ON RESERSE SIDE AFTER YOU READ 在你阅读警告之后请在背面签字(不要在此线WARNING.(Do not write below this line.)下面签字)
INSPECTOR’S NAME STAMP AREA
BADGE NO 检察员姓名 盖章区域 徽章号码
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 美国司法部 OMR 1115-407
Immigration and Naturalization service移民局
Welcome to the United State
Admission Number
697385031 01
I-94 Arrival/Departure
Record-Instructions
This form must be completed by all persons除了美国公民, 美国海外侨民, 永久居民和except U.S. citizens, returning resident加拿大公民外, 所有访问 或过路的人士都必aliens with immigrant visas, and Canadian须填写此表
Citizens visiting or in transit.
Type or print legibly with pen in ALL 请用大写字母打字或用钢笔或用圆珠笔清楚CAPITAL LETTERS. Use English. Do not write填写. 请用英文填写. 不要 在此表背面填写on the back of this form. 任何东西.
This form is in two parts. Please complete此表包括两部分, 请填写入境记录 (第1项至both the Arrival Record (Item 1 through 13)第13项)和离境记录(第 14项至第17项)两部and the Departure Record (Item 14 through分.
17).
When all items are completed, present this填写完毕后, 请将此表交给美国移民局官员. form to the U.S. Immigration and
Naturalization Service Inspector.
Item 7 – If you are entering the United第7项内容说明 – 如果你从陆地进入美国, States by land, enter LAND in this space.请在空格内填写LAND, 如果 你乘船进入美If you are entering the United States by国, 请在空格内填写SEA.
ship, enter SEA in this space.
Form I-94(10-01-85)N
Admission Number
697385031 01 I-94表 (10-01-85)N 登记号码 697385031 01 欢迎来到美国 登记号码 (*举例说明) 697385031 01 I-94 入境/离境记录说明
Immigration and Naturalization Service移民局
I-94
Arrival Record
1. Family Name
2. First (Given) Name
3. Birth Date(Day/Mo/Yr)
4. Country of Citizenship
5. Sex (Male or Female)
6. Passport Number
7. Airline & Flight Number I-94 入境记录 1. 姓 2. 名 3. 生日(月/日/年) 4. 哪个国家公民 5. 性别(男填MALE或女填FEMALE) 6. 护照号码 7. 航空公司和航班号
8. Country Where You Live
9. City Where You Boarded
10. City Where Visa Was Issued
11. Date Issued (Day/Mo/Yr)
(Number and Street)
13. City and State
Departure Number
697385031 01
I-94
Departure Record
14. Family Name
15. First (Given) Name 16. Birth
Date(Day/Mo/Yr)
17. County of Citizenship
WELCOME TO THE UNITED STATES
CUSTOMS SERVICE
CUSTOM DECLARATION 8. 你在哪个国家生活 9. 你在那个城市降落 10. 在哪个城市得到签证 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. 在美国的住址(市名及州名) State of California 离境号码 697385031 01 I-94 离境记录 14. 姓 15. 名 16. 生日(日/月/年) 17. 哪个国家公民 欢迎来到美国 美国海关署 海关申报
1. 姓名:
姓 名 中间名 Immigration and Naturalization Service移民局 美国海关申报/Custom Declaration Form (中英文对照) DEPARTMENT OF THE TREASURY UNITED STATES财政部 1. Name: Last First Middle Initial
you
3. Date of Birth:
Month Day Year
4. Airline/Flight:
5. U.S. Address:
6. I am a U.S. Citizen YES NO
If No, Country:
7. I reside permanently in the
U.S. YES NO
If No, Expected Length of Stay:
8. The purpose of my trip is or was
BUSINESS PLEASURE
9. I am/we are
bringing fruits,
plants,meats, food,
soil, birds, snails,YES NO 8. 此次旅程的目的是 商务旅游 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, 或是 否 3. 出生日期: 月 日 年 4. 航空公司/航班号: 5. 在美居住地址: 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. 你是在美国永久居留吗 是 否 如果不是, 预期停留多久: 2. Number of family members traveling with2. 与你同行的家庭成员人数:
otherlive animals,
farm products, or
I/we have been on a
farm or ranch
outsidethe U.S.
10. I am/we are
carrying currency
ormonetary
instruments over
$10000U.S. or the
foreign equiralent. YES NO 你 一直居住在美国以外的农村或牧场吗 10. 你携带现金或珍贵物品, 其价值超过一万美金或相当于一万美金的外币吗 是 否
11. The total value of all goods I/we 11. 你境外购买或获得并带入美国所有物品purchased or acquired abroad and am/are 总价值(参看背面商品栏目; 访问者只须申报bringing to the U.S. is (see instructions礼品价
under Merchandise on reverse side;
visitors should report value of gifts
only):$___________________ U.S. Dollars值):$ _____________________________ 美元
SIGN ON RESERSE SIDE AFTER YOU READ 在你阅读警告之后请在背面签字(不要在此线WARNING.(Do not write below this line.)下面签字)
INSPECTOR’S NAME STAMP AREA
BADGE NO 检察员姓名 盖章区域 徽章号码