ARRIVAL - 税関

1 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 )

2 961 Nationality Japan Occupatio n Date o f Birth Year Month Day 1992 4 11 Passport No AB01234567 Nu mber of Family members Tr avel ng with You O er 20 years old 6 19 years old Under 6 years old Please answer with a " "mark to the fo llo wing questio ns . Are you bringing the following into Japan ? Yes N o 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 of side B ) Co mmer ci al g o o ds o r s ampl es Any i tems yo u hav e been r eques ted fr o m s o meo ne else to bring into Japan If yo u r a n swer to a ny of t he qu est ion s a bo ve is "Yes", plea se list your belongings in "Description of Personal Effects" on side B.

3 Cash, Checks (including T/C), Promissory Notes, Securities w hich exceed the amount of 1,000,000 yen or its equivalent, or precious metals, etc. exceeding 1kg. Yes N o I f yo u cho o se "Yes", please submit "DECLARATION OF CARRYIN G OF MEANS OF PAYMENT, ETC" to Customs . Do you have Unaccompanied Articles ? I declare that the above particulars are true and co rre ct. Signature Taro Zeikan Yes PKG( S)) No If yo u have any unacco mpanied articles, please submit this Declaratio n Fo rm in duplicate Unaccompanied articles shall be imported within 6 months from the date of your ARRIVAL The sealed declaration must be presented at the time o f clearance o f the unacco mpanied articles NOTICE >As r eg ulated by law s and r eg ulati o ns co ncer ned, yo u ar e r equir ed to de cl ar e al l the ar ti cl es that yo u hav e pur chas e d abr o ad o r i n departu r e s / arri val s duty-free s ho ps i n Japan and ar e br i ng i ng i nto J apan.

4 A ny fal s e decl ar ati o n o r fai l ur e to decl ar e may be s ubj ect to penalty in l aw s and r eg ul ati o ns co ncer ned. Information on Customs procedures in Japan Duty-Free Allowance for Non-residents (per an Adult) civil servant QUARANTINE ARRIVAL Entry to JAPAN IMMIGRATION ANIMAL/PLANTQUARANTINE CUSTOMS Kinds Amount or Value Alcoholic Beverages3 bottles 760ml per bottle Tobacco (non-resident) 400 cigarettes, or100 cigars, or20 individual packages,etc of heat-not-burn-tobacco500 grams of other kind of tobacco * Duty-free allowance of heat-not-burn cigarettes are equivalent to 400 cigarettes.* Duty allowance of Tobacco will be amended in October 2021. For your information, please visit our website.

5 Perfume 2 ounces Others 200,000 (total overseas market value) Attention Commercial goods and commercial samples are dutiable and are not subject to duty exemption indicated above. Items prohibited from importation(examples) Counterfeit, altered or imitated bank notes, coins or Narcotic drugs, stimulants, marihuana, MDMA, , Firearms such as pistols, revolvers, forged credit cards. Explosives (dynamite etc.), materials for chemical Obscene or immoral materials, and child Articles which infringe upon intellectual property rights. Items restricted from importation(examples) Hunting guns, swords, etc. Live animal and plants, meat products, vegetables, fruits, Internationally protected endangered animals, plants or rice, etc.

6 Their products. (crocodile, cobras, turtles, ivory, musk, Pharmaceutical products, cosmetic (subject to quantity cactus, etc.) restrictions)