C5360 B
C5360 B
C5360 B
CUSTOMS DECLARATION
Declaration of Personal Effects and Unaccompanied Articles
Please fill in the following information and submit to
Customs.
(Only one written declaration per family is required.)
Flight No./Name of Point of embarkation
Address in
Japan
(Accommod
ation) Tel ( )
Nationality Occupation
Year Month Day
Date of Birt
Passport
No.
Number of
Family Over 20 years old 6-19 years old Under 6 years old
members
Traveling with
You
※ Please answer with a "✓"mark to the following questions.
1. Are you bringing the following into Japan ? Yes No
① Prohibited Article(s) or Restricted
Article(s)
[For example, Narcotic drugs, Firearms,
Explosives]
(Please refer to 1. and 2. of side B.)
② Gold bullion or products of gold
③ Goods (purchases, souvenirs, gifts)
exceeding duty-free
allowance (Please refer to 3. of side B.)
④ Commercial goods or samples
⑤ Any items you have been requested from
someone
else to bring into Japan
*If your answer to any of the questions above is
"Yes", please list
your belongings in "Description of Personal
Yes No
2.Effects" on side
Cash, Checks B.
(including T/C), Promissory
Notes, Securities which exceed the
amount of 1,000,000 yen or its equivalent,
or precious metals, etc. exceeding 1kg.
*If you choose "Yes", please submit "DECLARATION OF
CARRYING
OF MEANS OF PAYMENT, ETC" to Customs.
3. Do you have Unaccompanied Articles ?
PKG(S)
Yes (
* If you have any unaccompanied articles, )please No
submit this Declaration Form
in duplicate. Unaccompanied articles shall be
imported within 6 months
from the date of your arrival. The sealed declaration
must be presented
at the time of clearance of the unaccompanied
articles.
《NOTICE》
As regulated by laws and regulations
concerned, you are required to declare all
the articles that you have purchased abroad
or in departures/arrivals duty-free shops in
Japan and are bringing into Japan. Any false
declaration or failure to declare may be
subject to penalty in laws and regulations
I declare that the above particulars are true and
concerned.
correct.
Signature
(-B-)
※ Description of Personal Effects
(If all your answers to 1. and 3. of side A are “No”,
you need not fill in this section.)
* Regarding the column of “Description of other goods”, if the
total market value of each items for personal use do not exceed
10,000 yen, you need not fill in this column.
You need not fill in unaccompanied articles in this column.
Perfume oz
Description of other goods Quantity Market Value