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
Immigration and Naturalization service

美国司法部 OMR 1115-407 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 except U.S. citizens, returning resident aliens with immigrant visas, and Canadian Citizens visiting or in transit

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
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 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

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.

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.

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
Admission Number
697385031 01
Immigration and Naturalization Service

I-94表 (10-01-85)N登记号码
697385031 01

移民局

I-94 

Arrival Record

I-94 

入境记录

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

8. Country Where You Live

9. City Where You Boarded

10.City Where Visa Was Issued

11. Date Issued (Day/Mo/Yr)

12. Address While in the United State (Number and Street)

13.City and State

Departure Number
697385031 01

Immigration and Naturalization Service

 1. 姓

 2. 名

 3. 生日(日/月/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. 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. 在美国的住址(门牌号及街名)

13. 在美国的住址(市名及州名)

 

离境号码
697385031 01

移民局

 

I-94
Departure Record

I-94
离境记录

14. Family Name

15. First (Given) Name

16. Birth Date(Day/Mo/Yr)

17. County of Citizenship

14. 姓

15. 名

16. 生日(日/月/年)

17. 哪个国家公民

 

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

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):

1. Name:

LastFirst Middle Initial

2. Number of family members traveling with you

3. Date of Birth: 4. Airline/Flight:

MonthDayYear

 

5. U.S. Address:

 

6. I am a U.S. Citizen                    YESNO

If No, Country:

 

7. I reside permanently in the U.S.        YESNO

If No, Expected Length of Stay:

 

8. The purpose of my trip is or was
BUSINESSPLEASURE

1. 姓名:

姓名中间名

2. 与你同 行的家庭成员人数:

3. 出生日期: 4. 航空公司/航班号:

月日年

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:

 

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, other
live animals, farm products, or I/we have been on a farm or ranch outside
the U.S.

 YES     NO

 

10. I am/we are carrying currency or
monetary instruments over $10000
U.S. or the foreign equiralent.

YES     NO

 

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

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. 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. 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

 

SIGN ON RESERSE SIDE AFTER YOU READ WARNING.(Do not write below this line.)

 

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