美国出入境卡_I-94表格样本

1、美国海关出入境登记表（1-94 FORM ）（中英文对照）U.S. Departme nt of JusticeOMR 1115-4077Immigrati on and Naturalizati on service美国司法部OMR 1115-407移民局Welcome to the Uni ted State欢迎来到美国Admissi on Number697385031 01登记号码（*举例说明）697385031 01I-94 Arrival/Departure Record-I nstructio nsI-94入境/离境记录说明This form must be completed

2、by all persons except U.S. citize ns, returning reside nt aliens with immigrant visas, and Canadian Citize ns visit ing or in tran sit.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Type or print legibly with pen in ALL CAPITALLETTERSUse En glish. Do not write on the back of this form.请用大写字母打字或用钢笔或用圆

3、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.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.Whenall items are completed, present this form to the U.S. Immigration andNaturalizatio n

4、Service In spector.填写完毕后，请将此表交给美国移民局官员.Item 7 If you are entering the UnitedStates by land, en ter LAND in this space. If you are entering the United States by ship, en ter 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 l-94(10-01-85)NI-94 表(10-01-85)NAdmissi on Number

5、697385031 01登记号码697385031 01Immigrati on and Naturalizati on Service移民局I-94Arrival RecordI-94入境记录1. Family Name1.姓2. First (Give n) Name2.名3. Birth Date(Day/Mo/Yr)3.生日（月/日/年）4. Country of Citize nship4.哪个国家公民5. Sex (Male or Female)5.性别（男填MALE或女填FEMALE）6. Passport Number6.护照号码7. Airline & Flight

6、Number7.航空公司和航班号8. Cou ntry Where You Live8.你在哪个国家生活9. City Where You Boarded9.你在那个城市降落10. City Where Visa Was Issued10.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 Uni ted State(Number and Street)12.在美国的住址（门牌号及街名）13. City and State13.在美国的住址（市名及州名）State of California

7、Departure Number697385031 01离境号码697385031 01Immigrati on and Naturalizati on Service移民局1-94Departure RecordI-94离境记录14. Family Name14.姓15. First (Given) Name 16. BirthDate(Day/Mo/Yr)15.名16.生日（日/月/年）17. County of Citizenship17.哪个国家公民美国海关申报/Custom Declaration Form （中央文对照）WELCOME TO THE UNITED STATES欢迎来

8、到美国DEPARTMENT OF THE TREASURY UNITED SCUSTOMS SERVICETA政部S美国海关署CUSTOM DECLARATION海关申报1. Name:LastFirstMiddle In itial1.姓名：姓名中间名2. Numberof family memberstraveling with you2.与你同行的家庭成员人数：3. Date of Birth:MonthDayYear3.出生日期：月日年4. Airli ne/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. Citize

9、 n YES NOIf No, Coun try: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 perma nen tly in theU.S. YES NOIf No, Expected Len gth 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 wasBUSINESS PLEASURE8.此次旅程的目的是 商务旅游9. I am/we are bringing fruits, plants,meats, food, soil, birds, sn ails,Yes NO

10、9.你携带水果，植是否 物，肉类，食品，土 壤，鸟类，蜗牛，其他动物和农产品，或otherlive animals, farm products, or I/we have bee n on a farm or ranch outsidethe U.S.你一直居住在美国以 外的农村或牧场吗10. I am/we are carry ing curre ncy ormon etary in strume nts over $10000U.S. or the foreig n equirale nt.YES NO10.你携带现金或珍 贵物品，其价值超过 一万美金或相当于一 万美金的外币吗是否11. The total value of all goods l/we purchased or acquired abroad and am/are bringing to the U.S. is (see in struct ions un der Mercha ndise on reverse side; visitors should report value of gifts on ly):$U.S. Dollars11.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