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U.S.Department of Justice OMR 1115-4077
Immigration and Naturalization service
Welcome to the United State Admiion Number 233414639 09
I-94 Arrival/Departure Record-Instructions
美国司法部 OMR 1115-407 移民局
欢迎来到美国 登记号码(*举例说明)233414639 09 I-94 入境/离境记录说明
除了美国公民, 美国海外侨民, 永久居民和加拿大公民外, 所有访问或过路的人士都必须填写此表
请用大写字母打字或用钢笔或用圆珠笔清楚填写.请用英文填写.不要 在此表背面填写任何东西.此表包括两部分, 请填写入境记录(第1项至第13项)和离境记录(第 14项至第17项)两部分.填写完毕后, 请将此表交给美国移民局官员.第7项内容说明– 如果你从陆地进入美国, 请在空格内填写LAND, 如果 你乘船进入美国, 请在空格内填写SEA.I-94表(10-01-85)N 登记号码 233414639 09 移民局I-94 入境记录 1.姓 2.名
3.生日(月/日/年)4.哪个国家公民
5.性别(男填MALE或女填FEMALE)6.护照号码 7.航空公司和航班号 8.你在哪个国家生活
This form must be completed by all persons exceptU.S.citizens, returning resident aliens with immigrant visas, and Canadian Citizens visiting or in transit.Type or print legibly with pen in ALL CAPITALLETTERS.Use English.Do not write on the back of this form.This form is in two parts.Please complete both theArrival Record(Item 1 through 13)and the Departure Record(Item 14 through 17).When all items are completed, present this form to theU.S.Immigration and Naturalization Service Inspector.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.Form I-94(10-01-85)N Admiion Number 233414639 09
Immigration and Naturalization ServiceI-94
Arrival Record 1.Family Name 2.First(Given)Name 3.Birth Date(Day/Mo/Yr)4.Country of Citizenship 5.Sex(Male or Female)6.Paport Number 7.Airline & Flight Number 8.Country Where You Live
9.City Where You Boarded
10.City Where Visa Was Iued
11.Date Iued(Day/Mo/Yr)
12.Addre While in the United State(Number andStreet)
13.City and StateDeparture Number233414639 09
Immigration and Naturalization ServiceI-94Departure Record
14.Family Name
15.First(Given)Name 16.Birth Date(Day/Mo/Yr)
17.County of Citizenship9.你在那个城市登机 10.在哪个城市得到签证11.得到签证的日期(日/月/年)12.在美国的住址(门牌号及街名)13.在美国的住址(市名及州名)离境号码 233414639 09移民局I-94离境记录14.姓 15.名 16.生日(日/月/年)17.哪个国家公民
