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documents/travel/customs_declaration/海关申报表.md

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+---
+type: travel document
+category: customs declaration form
+person: Jiang Xianlu, Xue Fengqin
+date: 
+source: 海关申报表.pdf
+---
+
+# Page 1: 海关申报单 (Customs Declaration - Chinese Version)
+
+**U.S. Customs and Border Protection**
+19 CFR 122.27, 148.12, 148.13, 148.110, 148.111, 1498; 31 CFR 5316
+批准表格 OMB NO. 1651-0009
+
+每位入境旅客或家庭负责人必须提供以下资料（每个家庭只需填写一份申报单）：
+
+| # | Field (Chinese) | Value |
+|---|---|---|
+| 1 | 姓 | Jiang |
+| | 名 | Xianlu |
+| | 中间名 | — |
+| 2 | 出生日期 | 日 28 月 01 年 68 |
+| 3 | 随行家庭成员人数 | 2 |
+| 4(a) | 在美国的地址街名（旅馆名称/目的地） | 1652 W 6th Street Apt. R |
+| 4(b) | 市 | Austin |
+| 4(c) | 州 | Texas |
+| 5 | 发照地（国家） | China |
+| 6 | 护照号码 | E38284127 |
+| 7 | 居住国 | China |
+| 8 | 这次抵达美国之前曾去过的国家 | China |
+| 9 | 航空公司/班机号码或船名 | HU 495 |
+
+### 申报问题
+
+| # | Question | Answer |
+|---|---|---|
+| 10 | 这次旅行的主要目的是业务出差 | 否 X |
+| 11(a) | 水果、蔬菜、植物、种子、食品、昆虫 | 否 X |
+| 11(b) | 肉类、动物、动物/野生动物产品 | 否 X |
+| 11(c) | 疾病媒体、细胞培养体、蜗牛 | 否 X |
+| 11(d) | 土壤或曾经到过农场/牧场/饲养场 | 否 X |
+| 12 | 曾经非常接近（如摸过或者处理过）牲畜 | 否 X |
+| 13 | 携带超过 10,000 美元或相等数额的外国货币的现金或代金 | 否 X |
+| 14 | 携带商品（可供销售的物品、用于招揽订单的样品、或不属于个人用品的物品） | 否 X |
+
+### 申报价值
+
+| Category | Value |
+|---|---|
+| 15. 居民 — 总价值 | $ — |
+| 来访者 — 将留在美国的所有物品（包括商品）的总价值 | $ 500 |
+
+**签名:** *(signed)*
+**日期:** —
+
+---
+
+# Page 2: Customs Declaration (English Version)
+
+**U.S. Customs and Border Protection**
+19 CFR 122.27, 148.12, 148.13, 148.110, 148.111, 1498; 31 CFR 5316
+FORM APPROVED OMB NO. 1651-0009
+
+Each arriving traveler or responsible family member must provide the following information (only ONE written declaration per family is required):
+
+| # | Field | Value |
+|---|---|---|
+| 1 | Family Name | Xue |
+| | First (Given) | Fengqin |
+| | Middle | — |
+| 2 | Birth date | Day 06 Month 04 Year 65 |
+| 3 | Number of Family members traveling with you | 2 |
+| 4(a) | U.S. Street Address (hotel name/destination) | 1652 W 6th Street Apt. R |
+| 4(b) | City | Austin |
+| 4(c) | State | Texas |
+| 5 | Passport issued by (country) | China |
+| 6 | Passport number | G49056250 |
+| 7 | Country of Residence | China |
+| 8 | Countries visited on this trip prior to U.S. arrival | China |
+| 9 | Airline/Flight No. or Vessel Name | HU 495 |
+
+### Declaration Questions
+
+| # | Question | Answer |
+|---|---|---|
+| 10 | The primary purpose of this trip is business | No X |
+| 11(a) | fruits, vegetables, plants, seeds, food, insects | No X |
+| 11(b) | meats, animals, animal/wildlife products | No X |
+| 11(c) | disease agents, cell cultures, snails | No X |
+| 11(d) | soil or have been on a farm/ranch/pasture | No X |
+| 12 | I have (We have) been in close proximity of (such as touching or handling) livestock | No X |
+| 13 | I am (We are) carrying currency or monetary instruments over $10,000 U.S. or foreign equivalent | No X |
+| 14 | I have (We have) commercial merchandise | No X |
+
+### Declared Value
+
+| Category | Value |
+|---|---|
+| 15. Residents — total value of all goods | $ — |
+| Visitors — total value of all articles that will remain in the U.S., including commercial merchandise | $ 500 |
+
+**I HAVE READ THE IMPORTANT INFORMATION ON THE REVERSE SIDE OF THIS FORM AND HAVE MADE A TRUTHFUL DECLARATION.**
+
+**Signature:** *(signed)*
+**Date:** —