Permanent address

1-94

Arrival Record

I -Familv Name

% First (Given) Name

J______ I_____ I_____ I_____ I_____ t_

Country of Citizenship

3. Birth Date(Day/Mo Yr)

J__ I___ I__ I___ I__ I

5 Sex (Male or Female I

_J

II Date Issued(DayiMoYr) 1,1:,

_i____ I___ 1___ i___ I

Я прибыл из России

Я прибыл рейсом Аэрофло­та №...

Вот мой паспорт

У меня служебный паспорт

У меня общегражданский паспорт

I've just arrived [a'rarvd] from Russia

I've arrived on Aeroflot flight* number...

Here is my passport

I've got a business passport

I've got a civil passport

6. Passport Number

Airline and Flight Number

S.Countrv Where You Live

?.City Where You Boarded

LO. City Where Visa Was Issued

i i i

Address While in the United States (Number and Street)

J_____ I_____ I_____ I_____ I_____ I_____ I_____ I_____ I____

Li.City and State

*3вездочкой помечены слова, транскрипция которых приводит­ся в словаре.

Бланк въезда/выезда

ПРИБЫТИЕ ЗА РУБЕЖ ARRIVAL

DEPARTMENT OF THE TREASURY UNITED STATES CUSTOMS SERVICE

>o

CUSTOMS DECLARATION

PRESENT TO THE IMMIGRATION AND CUSTOMS INSPECTORS

EACH ARRIVING TRAVELER OR HEAD Of A FAMILY MUST WRITE IN THE FOL of

LOWING INFORMATION. PLEASE PRINT ____________________ IO

GIVEN NAME

MIDDLE INITIAL

FAMILY NAME

2. DATE OF BIRTH Шо./Огу/Уг.)	3. VESSEL. OR AIRLINE &FLT. NO.
4. CITIZEN OF (Country)	5. RESIDENT OF (Country)

PERMANENT ADDRESS

7. ADDRESS WHILE IN THE UNITED STATES

8. NAME AND RELATIONSHIP OF ACCOMPANYING FAMILY MEMBERS

lants, mean. live organisms

□ YES □ NO

fl. Are you or anyone in your party carrying any fruit», plants,
other plant or animal products, birds, «nails, or other live or
of any kind?_______________ ____________

I—I _vcc ГП Kin LJ ^Y" I_J ^NO

Дата добавления: 2015-11-30