U.S.
Department of Justice
OMR 1115-4077
Immigration and Naturalization service |
|
美國司法部
OMR 1115-407
移民局
|
| Welcome
to the United State |
|
歡迎來到美國 |
Admission
Number
552738531 01 |
|
登記號碼
(舉例說明)
552738531
01
|
| I-94
Arrival/Departure Record-Instructions |
|
I-94
入境/離境記錄說明 |
| This
form must be completed by all persons except U.S.
citizens, returning resident aliens with immigrant
visas, and Canadian Citizens visiting or in
transit.
|
|
除了美國公民、美國海外僑民、永久居民和加拿大公民外，所有訪問或過境的人士都必須填寫此表。 |
| Type
or print legibly with pen in ALL CAPITAL LETTERS.
Use English. Do not write on the back of this
form.
|
|
請用大寫字母打字或用筆填寫清楚。請用英文填寫。不要
在此表背面填寫任何東西。 |
| This
form is in two parts. Please complete both the
Arrival Record (Item 1 through 13) and the
Departure Record (Item 14 through 17).
|
|
此表包括兩部分。請填寫入境記錄
(第1項至第13項)和離境記錄(第14項至第17項)兩部分。
|
| When
all items are completed, present this form to the
U.S. Immigration and Naturalization Service
Inspector.
|
|
填寫完畢後，請將此表交給美國移民局官員。 |
| Item
7 If
you are entering the United States by land, enter
LAND in this space. If you are entering the United
States by ship, enter SEA in this space.
|
|
第7項內容說明
- 如果您從陸地進入美國，請在空格內填寫LAND。如果
你乘船進入美國，請在空格內填寫SEA。 |
| Form
I-94(10-01-85)N
|
|
I-94表格
(10-01-85)N |
Admission
Number
5527385031 01
|
|
登記號碼
5527385031 01 |
| Immigration
and Naturalization Service
|
|
移民局
|
|
|
I-94
Arrival Record |
|
I-94
入境記錄
|
| 1.
Family Name |
|
1.
姓氏 |
| 2.
First (Given) Name |
|
2.
名字 |
| 3.
Birth Date (Day/Month/Year) |
|
3.
生日
(日/月/年) |
| 4.
Country of Citizenship |
|
4.
國籍 |
| 5.
Sex (Male or Female) |
|
5.
性別 (男性或女性) |
| 6.
Passport Number |
|
6.
護照號碼 |
| 7.
Airline & Flight Number |
|
7.
航空公司和航班 |
| 8.
Country Where You Live |
|
8.
您在哪個國家居住 |
| 9.
City Where You Boarded |
|
9.
您在哪個城市搭乘飛機 |
| 10.
City Where Visa Was Issued |
|
10.
在哪個城市取得簽證 |
| 11.
Date Issued (Day/Month/Year) |
|
11.
取得簽證的日期(日/月/年) |
12.
Address While in the United State
(Number and
Street) |
|
12.
在美國的住址
(號碼及街名) |
| 13.
City and State |
|
13.
在美國的住址
(城市及州名) |
Departure
Number
552738531 01 |
|
離境號碼
552738531
01
|
| Immigration
and Naturalization Service |
|
移民局 |
I-94
Departure Record |
|
I-94
離境記錄
|
| 14.
Family Name |
|
14.
姓氏 |
| 15.
First (Given) Name |
|
15.
名字 |
| 16.
Birth Date (Day/Month/Year) |
|
16.
生日
(日/月/年) |
| 17.
County of Citizenship |
|
17.
國籍 |
