尸体棺柩骸骨入出境卫生检疫申报单.

1、尸体/棺柩/骸骨入/出境卫生检疫申报单APP LICATION OF IMP ORT/EX PO CORPSE/COFFIN WITH CORPSE/HUMANREMAINS FOR VERIFICATION AND QUARANTINE编号(No.):死者姓名性别：男/女Name of the DeadMale/FemaleNationalityGen der:生年 月P rofessio nDate of Birth死亡日期亡地点Date of DeathPlace of Death生前住址（病 名）Cause of Death (Disease)Address安葬地点入/出境日期PI a

2、ee of Bury ing_入/出境口岸_Port of En try/De partureDate of Arrival/Dep arture出境国或地区运输工具名称及号码（航次）From尸体/棺柩/骸骨入境后处理方式:土葬火化其他(Country /Regi on) Con veya nee and its Number (Flight)Type of Treatme nt ofCorp se/C offin with Corpse/Huma n Remai ns after Entry:In humati onCremati onOther Type包装密封：是经卫生处理:SealYe

3、sNOSan itary MeasureYes No呈交有关申报材料:Documents for Application入境尸体 /棺柩/ 骸骨申报材料：Application for ImportCorpse/Coffin with Corpse/Human Remains1 尸体/棺柩/ 骸骨入/出境入殓证明；Corpse/Coffin withEncoffining Certification of Import/ExportCorpse/Human Remains2 遗体入 / 出境防腐证明；Antisepsis Certification of Import/Export Body3

4、 尸体/棺柩/ 骸骨入/出境卫生监管申报单；Application of Import/Export Corpse/Coffin with Corpse/Human Remains for Verification and Quarantine4 死者身份证明（护照、海员证、通行证、身份证）复印件；Identification of the Dead5 出境国或地区官方签发的死亡报告或医疗卫生部门签发的医学诊断 书；OfficialDeath Certificate or Certificate of Diag no sis Issuedby Departing Country or Regi

5、o n6 .出境国大使馆证明;Certificati on of the Embassy in the Departing Country7 .出境国或地区官方签发的尸体、棺柩、骸骨出境许可证;P ermit for Export Corpse /Coffi n with Corpse/Huma n Rema ins Issued by Departing Country or Regi on8 .安葬地行政部门（民政、侨务、外事部门）允许土葬的许可证明;In humati on P ermit by the Dest in ati on Gover nmentCorpse /Coffi n

6、with9 .尸体、棺柩、骸骨卫生处理证明。Certificati on of Sani tary Measures for Corpse/Huma n Remai ns10 .其他材料Other Docume nts出境尸体 /棺柩/ 骸骨申报材料：Application for ExportCorpse/Coffin with Corpse/Human Remains1 尸体/棺柩/ 骸骨入/出境入殓证明；Corpse/Coffin withEncoffining Certification of Import/ExportCorpse/Human Remains2 遗体入 / 出境防腐证

7、明；Antisepsis Certification of Import/Export Body3 尸体/棺柩/ 骸骨入/出境卫生监管申报单；Application of Import/Export Corpse/Coffin with Corpse/Human Remains for Verification and Quarantine4 死者身份证明（护照、海员证、通行证、身份证）复印件；Identification of the Dead5 公安、医疗部门签发的死亡报告或死亡医学诊断书；Death or Diag no sis Certificate Issued by P olice or Hosp ital6 .公证机关出具的公证书;Notarizati on.尸体/棺柩/骸骨移运证;P ermit for Removal and Transp ortati on of Corpse /Coffi n with Corpse/Huma n Remai nsCorpse /Coffi n with.尸体、棺柩、骸骨卫生处理证明;Certificati on of Sani tary Measures for Corpse/Huma n Remai