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U.S. Department of Justice
OMR 1115-4077
Immigration and Naturalization service
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美国司法部
OMR 1115-407
移民局
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Welcome to the United State
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欢迎来到美国
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Admission Number
233414639 09
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登记号码 (*举例说明)
233414639 09
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I-94 Arrival/Departure Record-Instructions
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I-94 入境/离境记录说明
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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
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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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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.
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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.
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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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填写完毕后, 请将此表交给美国移民局官员.
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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.
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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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登记号码
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
入境记录
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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. 哪个国家公民
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5. Sex (Male or Female)
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5. 性别(男填MALE或女填FEMALE)
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6. Passport Number
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6. 护照号码
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7. Airline & Flight Number
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7. 航空公司和航班号
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8. Country Where You Live
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8. 你在哪个国家生活
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9. City Where You Boarded
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9. 你在那个城市登机
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10. City Where Visa Was Issued
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10. 在哪个城市得到签证
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11. Date Issued (Day/Mo/Yr)
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11. 得到签证的日期(日/月/年)
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12. Address While in the United State (Number and Street)
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12. 在美国的住址(门牌号及街名)
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13. City and State
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13. 在美国的住址(市名及州名)
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Departure Number
233414639 09
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离境号码
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
离境记录
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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. 哪个国家公民
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