美国海关出入境登记表
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 欢迎来到美国
Admission Number
697385031 01 登记号码
697385031 01
I|94 Arrival/Departure Record|Instructions I|94 入境/离境记录说明
This form must be completed by all persons except U.S. citizens, returning resident aliens with immigrant visas, and Canadian Citizens visiting or in transit1. 除去美国公民, 美国国外侨民, 永久居民和加拿大公民外, 所有访问 或过路的人士都需要填写此表
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了解填写. 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 and the Departure Record . 此表包含两部分, 请填写入境记录 和离境记录两部分.
When all items are completed, present this form to the U.S. Immigration and Naturalization Service Inspector2. 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 假如你从陆地进入美国, 请在空格内填写LAND, 假如 你坐船进入美国, 请在空格内填写SEA.
Form I|94N I|94表 N
Admission Number
697385031 01 登记号码
697385031 01
Immigration and Naturalization Service 移民局
I|94
Arrival Record I|94
入境记录
1. Family Name 1. 姓
2. First Name 2. 名
3. Birth Date 3. 过生日
4. Country of Citizenship3 4. 什么国家公民
5. Sex 5. 性别
6. Passport Number 6. 护照号码
7. Airline Flight Number 7. 航空公司和航班号
8. Country Where You Live 8. 你在什么国家生活
9. City Where You Boarded 9. 你在那个城市降落
10. City Where Visa Was Issued 10. 在什么城市得到签证
11. Date Issued 11. 得到签证的日期
12. Address While in the United State 12. 在美国的住址
13. City and State 13. 在美国的住址
Departure Number
697385031 01 离境号码
697385031 01
Immigration and Naturalization Service 移民局
I|94
Departure Record I|94
离境记录
14. Family Name 14. 姓
15. First Name 16. Birth Date 15. 名 16. 过生日
17. County of Citizenship 17. 什么国家公民