U.S. Department of Justice
OMR 1115-4077
Immigration and Naturalization service |
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美國司法部
OMR 1115-407
移民局 |
Welcome to the United State |
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歡迎來到美國 |
Admission Number
552738531 01 |
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登記號碼 (舉例說明)
552738531 01 |
I-94 Arrival/Departure Record-Instructions |
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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. |
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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. |
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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). |
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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. |
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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. |
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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 |
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I-94表格 (10-01-85)N |
Admission Number
5527385031 01 |
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登記號碼
5527385031 01 |
Immigration and Naturalization Service |
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移民局 |
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I-94
Arrival Record |
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I-94
入境記錄 |
1. Family Name |
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1. 姓氏 |
2. First (Given) Name |
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2. 名字 |
3. Birth Date (Day/Month/Year) |
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3. 生日 (日/月/年) |
4. Country of Citizenship |
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4. 國籍 |
5. Sex (Male or Female) |
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5. 性別 (男性或女性) |
6. Passport Number |
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6. 護照號碼 |
7. Airline & Flight Number |
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7. 航空公司和航班 |
8. Country Where You Live |
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8. 您在哪個國家居住 |
9. City Where You Boarded |
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9. 您在哪個城市搭乘飛機 |
10. City Where Visa Was Issued |
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10. 在哪個城市取得簽證 |
11. Date Issued (Day/Month/Year) |
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11. 取得簽證的日期(日/月/年) |
12. Address While in the United State
(Number and Street) |
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12. 在美國的住址
(號碼及街名) |
13. City and State |
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13. 在美國的住址
(城市及州名) |
Departure Number
552738531 01 |
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離境號碼
552738531 01 |
Immigration and Naturalization Service |
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移民局 |
I-94
Departure Record |
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I-94
離境記錄 |
14. Family Name |
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14. 姓氏 |
15. First (Given) Name |
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15. 名字 |
16. Birth Date (Day/Month/Year) |
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16. 生日 (日/月/年) |
17. County of Citizenship |
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17. 國籍 |