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
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Welcome to the United State
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歡迎來到美國
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Admission Number
233414639 09
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登記號碼 (*舉例說明)
233414639 09
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I-94 Arrival/Departure Record-Instructions
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I-94 入境/離境記錄說明
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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 或過路的人士都必須填寫此表
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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鋼筆或用圓珠筆清楚填寫. 請用英文填寫. 不要 在此表背面填寫任何東西.
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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?zhí)顚懭刖秤涗?(第1項(xiàng)至第13項(xiàng))和離境記錄(第 14項(xiàng)至第17項(xiàng))兩部分.
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When all items are completed, present this form to the U.S. Immigration and Naturalization Service Inspector.
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填寫完畢后, 請將此表交給美國移民局官員.
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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(xiàng)內(nèi)容說明 – 如果你從陸地進(jìn)入美國, 請?jiān)诳崭駜?nèi)填寫LAND, 如果 你乘船進(jìn)入美國, 請?jiān)诳崭駜?nèi)填寫SEA.
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Form I-94(10-01-85)N
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I-94表 (10-01-85)N
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Admission Number
233414639 09
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登記號碼
233414639 09
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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
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1. Family Name
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1. 姓
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2. First (Given) Name
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2. 名
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3. Birth Date(Day/Mo/Yr)
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3. 生日(月/日/年)
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4. Country of Citizenship
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4. 哪個國家公民
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5. Sex (Male or Female)
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5. 性別(男填MALE或女填FEMALE)
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6. Passport Number
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6. 護(hù)照號碼
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7. Airline & Flight Number
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7. 航空公司和航班號
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8. Country Where You Live
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8. 你在哪個國家生活
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9. City Where You Boarded
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9. 你在那個城市登機(jī)
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10. City Where Visa Was Issued
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10. 在哪個城市得到簽證
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11. Date Issued (Day/Mo/Yr)
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11. 得到簽證的日期(日/月/年)
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12. Address While in the United State (Number and Street)
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12. 在美國的住址(門牌號及街名)
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13. City and State
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13. 在美國的住址(市名及州名)
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Departure Number
233414639 09
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離境號碼
233414639 09
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Immigration and Naturalization Service
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移民局
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I-94
Departure Record
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I-94
離境記錄
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14. Family Name
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14. 姓
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15. First (Given) Name 16. Birth Date(Day/Mo/Yr)
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15. 名 16. 生日(日/月/年)
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17. County of Citizenship
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17. 哪個國家公民
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