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(-A-) JapaCunstoms Customs ForNCmo.5360-B Information on ...

Please fill out ALL THE ITEMS on the declaration form. It is necessary for prompt and appropriate Customs clearance. Please fill in side-A of the Declaration and submit it to Customs . If your answer to any of the questions is Yes , please provide a description of your belongings in the Description of Personal Effects area on side-B. The entry procedures Please fill in all of the columns in side-A. (-A-)>Japan> Customs > Customs Form>C> >Fligh ame of Vessel STOMS DECLARATION n of Personal Effects and Unaccompanied Articles following Information and submit to Customs ( y written declaration per family is required ) ** Point of embarkation Date of arrival in Japan Year Month Day2018 6 15 Name Last name (or Surname) F i r s t & mi ddl e name Taro Zeikan Address in J apan (Accommodation) 3-1-1 Kasumigaseki Chiyoda-ku Tokyo Tel 0120 ( 461 ) 961 Nationality Japan Occupatio n Date o f Birth Year Mo

(-A-) Date of Arrival in Japan • o ※ 1 ① ③ √ ④ ⑤ . * 3 * • Please fill out ALL THE ITEMS on the declaration form.

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