U.S. Department of Justice
OMR 1115-4077
Immigration and Naturalization service |
| 美国司法部
OMR 1115-407
移民局 |
Welcome to the United State |
| 欢迎来到美国 |
Admission Number
552738531 01 |
| 登记号码(举例说明)
552738531 01 |
I-94 Arrival/Departure Record-Instructions |
| I-94 入境/离境记录说明 |
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,所有访问或过境的人士都必須填写此表。 |
Type or print legibly with pen in ALL CAPITAL LETTERS. Use English. Do not write on the back of this form. |
| 请用大写字母打字或用笔填写清楚。请用英文填写。不要 在此表背面填写任何东西。 |
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。 |
When all items are completed, present this form to the U.S. Immigration and Naturalization Service Inspector. |
| 填写完毕后,请将此表交給美国移民局官员。 |
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项内容说明 - 如果您从陆地进入美国,請、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。 |
Form I-94(10-01-85)N |
| I-94表格 (10-01-85)N |
Admission Number
5527385031 01 |
| 登记号码
5527385031 01 |
Immigration and Naturalization Service |
| 移民局 |
|
I-94
Arrival Record |
| I-94
入境记录 |
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. 国籍 |
5. Sex (Male or Female) |
| 5. 性別 (男性或女性) |
6. Passport Number |
| 6. 护照号码 |
7. Airline & Flight Number |
| 7. 航空公司和航班 |
8. Country Where You Live |
| 8. 您在哪个国家居住 |
9. City Where You Boarded |
| 9. 您在哪个城市搭乘飞机 |
10. City Where Visa Was Issued |
| 10. 在哪个城市取得签证 |
11. Date Issued (Day/Month/Year) |
| 11. 取得签证的日期(日/月/年) |
12. Address While in the United State
(Number and Street) |
| 12. 在美国的住址
(号码及街名) |
13. City and State |
| 13. 在美国的住址
(城市及州名) |
Departure Number
552738531 01 |
| 离境号码
552738531 01 |
Immigration and Naturalization Service |
| 移民局 |
I-94
Departure Record |
| I-94
离境记录 |
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. 国籍 |