海关申报表〈中英文对照〉Each arriving traveler or head of family must provide the following information (only ONE written declaration per family is required):每一位入境美国的游客或一家之主必须提供以下数据(一个家庭只 须申报一份)：1. Family Name 姓: First(Given)名 Middle 中间名2. Birth date 出生日期：Day 曰 Month 月 Year 年 3. Number of family members traveling with you〈与你同行的家庭成员人数〉：4. a. U.S. street address (hotel name/destination):〈在美居住地址(旅馆名称 /目的地〉：b. City〈城市〉c. State〈州〉5. Passport issue by (country)：〈发护照国家〉6. Passport number ：〈护照号码〉7. Country of Residence :〈居住国家〉8. Countries visited on this trip prior to . arrival : < 此次旅游时来美国之前去过的国家〉9. Airline/Flight No. or Vessel Name:〈航空公司 /班机号码或船名〉 ：10. The primary purpose of this trip is BUSINESS O YES ONO〈此次旅程的目的主要是商 务 O 是 。
否〉11. I am (We are) bringing ：〈我(我们)携带〉：a. fruits, vegetables, plants, seeds, food, insects: Yes No〈水果‘植物’食物或昆虫是 否〉b. meats, animals, animal/wildlife products : Yes No〈肉类、动物或动物 /野生动物制品 是否〉c. disease agents, cell cultures, snails : Yes No〈带病原体、细胞培养或蜗牛 是否〉d. soil or have been on a farm/ranch/pasture : Yes No〈 土壤或你曾经去过美国境外的农场或 牧场 吗是否〉12. I have (We have) been in close proximity of (such as touching or handling) livestock outside :Yes No <我有(我们有)靠近(如触碰或接触)牲畜否〉13. I am (We are) carrying currency or monetary instruments over $10,000 U.S. or the foreign equivalent. O YES O NO〈你携带现金或财物品，其价值超过一万美金或相当于一万美金的外币吗 。
是否〉14. I have （We have） commercial merchandise: （article for sale, samples used for soliciting orders, or goods that are not considered personal effects）O YES ONO〈我（我们）有携带商品：（贩卖物 品、商业样品或任何不属于个人所有的物品 ）0是否〉15. Residents - the total value of all good, including commercial merchandise I/We have purchased or acquired abroad, （including gifts for someone else, but not items mailed to the .） and am/are bringing tthe .is:〈美国居民•我们带入美国所有物品（包含商品及礼品，但不包含邮寄入美国的物 品）的总价值为：〉Visitors - the total value of all article that will remain in the including commercial merchandise is:〈观光客■将留在美国境内的物品价值为（包含商品）：Read the instruction on the back of this form. Space is provided to list all the items you must declare. 〈请阅本表读背面的说明，请将须申报的物品在空格内列出〉I HAVE READ THE IMPORTANT INFORMA TION ON THE REVERSE SIDE OF THIS FORM AND HA VE MADE A TRUTHFUL DECLARATION.〈我已阅读过背面的说明，且已就实申 报〉Signature; Date （day/month/year）〈签名及日期（日/月 /年） 。