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Customs Form C No.5360-B CUSTOMS DECLARATION

(-A-) Japan CUSTOMS CUSTOMS Form C CUSTOMS DECLARATION . DECLARATION of Personal Effects and Unaccompanied Articles Please fill in the following information and submit to CUSTOMS . (Only one written DECLARATION per family is required.). Flight of Vessel Point of embarkation Year Month Day Date of Arrival in Japan Last name (or Surname) First & middle name Name Address in Japan (Accommodation). Tel ( ). Nationality Occupation Year Month Day Date of Birth Passport No. Number of Over 20 years old 6-19 years old Under 6 years old Family members Traveling with You Please answer with a " "mark to the following questions.. Are you bringing the following into Japan ? Yes No Prohibited Article(s) or Restricted Article(s). [For example, Narcotic drugs, Firearms, Explosives]. (Please refer to 1. and 2. of side B.). Gold bullion or products of gold Goods (purchases, souvenirs, gifts) exceeding duty-free allowance (Please refer to 3.)

(-A-) Japan Customs Customs Form C No.5360-B Flight No./Name of Vessel ( CUSTOMS DECLARATION Declaration of Personal Effects and Unaccompanied Articles Please fill in the following information and submit to Customs.

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Transcription of Customs Form C No.5360-B CUSTOMS DECLARATION

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