Transcription of Customs Declaration FORMAPPROVED Oil,lB NO. …
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Customs Declaration19 CFR 1 , , , , , 14S8i 31 CFR 531 6 FORMAPPROVEDOil,lB NO. 1651-0009 Each arriving traveler or responsible family member must provide the followinginformation (only ONE wriften Declaration per family is required):1. FamilyNameFtlr.;t (Giorn) Middle2. Birdr date D^y Month Year3. Number of Family members traveling with you4. (a) Street Address (hotel name/destination)(b) City(c) State5. Passport issued by (country)6. Passport number7. Country of Residence8. Countries visited on thisrip prior to arrival9. Airline/Flight No. or Vessel Name10. The primary purpose of this trip is business: Yes NoI l.
U.S. Customs and Border Protection Welcomes You to the United States U.S. Customs and Border Protection is responsible for protecdng the United
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Customs and Border Protection, Customs, DEPARTMENT OF HOMELAND SECURITY, Sample Customs Declaration Form, For Customs & Border Protection, For Customs & Border Protection Officers and, Border Protection, Customs and Border Protection (CBP), Customs and Border Protection (CBP) SOLICITATION NUMBER HSBP1017R0023, Border, Customs and Border Protection Applicant Guide