BVI Airport Servicesasbvi.com/wp-content/uploads/2016/05/new-custom-form.pdfCreated Date 5/5/2016 3:24:57 PM
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(LAt5l( PnlNTlllG & PROlll0Tl0NAL PRODUCIS . 181.545-1441 t--t t*l t4t 492 l il ffi \#r l. Visitor: 2. Lo$ Nome: 3. Firsi Nome: 4.M: F 5. Moritol Stolus: Single: 6. Counfry of CITIZENSHIP: 7. Posport Number: B. Posport lssue Dofe (doy/month/yeor): 9. Posporf isued by (country), I 0. Occupotion: I l. fl0rlt0 A00r0ss: I 2. Residenfs 0nly: Dote of Deporfure: I I 3. Arrivol AircroffAesel: Flight Number: Internel Trovel Agent tfiOrl: Sig notu re: The omounl of duly to be pid *ill h determined by the Cuslons 0f[icer; brsed upon lhe volue declcred gnd in serordome uith the oppropriote loriff. Where o volid rmipl dos nol support fie vslue detlor€d the offirer moy ossess fte price whidr in hh opinion, the goods would lekh on a sole in the open morkel. toi{ure lo mole o true od <onplele dedorction moy render you guilly of an of{ente ond lishle uder Sedion II5{l) ol (ustoms Monsgement ond Duties Acl, 2010 to o fine not er(eeding len thotsond dollors ond any g00ds in relotiot lo vhid the dorumenl 0r dolement wos mode ore lisble b lorfeiilre. There is an exemplion for personol effecls und boggage of refuming residnts whs hsve been obroad for mrlre kw /2 hows and punhases onl/w yitfts lo the wlue of 550.00 kr er:ch adult snd St 0.00 for esth persln undet tht. lge of I B years. 1. I hereby dedore ihot I om ltlP0Rlll'lG lhe following goods o. Fruits, plonts, meots, f00ds, soils, live onirnols: Y[S, b. Wildlife productg form & CIIES produits, YES' r. Fireorms ond ommunition: YES: d. [urency or monelory in$ruments over 51 0,000 l.l.5. or foreign eqriivolenl: YES: Nome Dste olSifh Relalion 2. The totol volue of oll goods induding eommerciol merchsndise ond giftl purchased or ocquired obrood ond being llflP0RTtD is: $ 3. I hereby cefiify ftot the sbove dedorstion is lrue snd conecf rnd thot the bills snd volue detoiled ore ouihentic. Signolure ond Doie ddlmm/wyy Reference#,,-, a,,: Welcome to lhe BRITISH VIRGIN ISLANDS IMMI GRATION/CUSTOMS FORA,I PTEASE COMPTETE STCTIONS A, B AND C OF THIS CARD PIIA5E PRINT US|NG ELACK OR BLUE 'NK Visit wwu*bvi.gov.vg . AnivolRecord {A} Middle Nome Dote of Birth (doy/month/yeor): I I Cu$oms Deelurotion {C} NOTICE Every possenger, or heod ol the fomily troveling together with o spouse ond children under the oge of I 8, is required lo complete Secfion C. Morried: 0lher: Iify: Zip Code / Deporlure Time: Vessel Deporture Time: Privote Boot Privote Air Difeclly wilh Business |lO: r,t0, |'l0, |,{O: [ountries Visited Prior lo Arrivol: Length of Stoy: 1 4. Visiton 0nly: Intended Addres in the BVI (Hotel/Vesse/0ther)' 1 5. Visiting: Tortolo Virgin Gordo Anegodo Jo$ Von Dyke I 5. Pori of Deporture to BVI Srn Juon, PR. Si. l,loriin St. Thomos Aniiguo I 7. Anivol to BVI by Air Cruise Ship Feny 1 B. Purpose of Visit (Visitors 0nly) Vorolion Business Visiting triends/Relotlves Wedding I 9. How did you book your visif? Port of Entry: Permitted to Remsin Uniil: 1ffkitllJse Aru Inifollntry Cotegory: I I providd no work is underfoken without permrs90n. Offiriol Signoture: Deporture Record (B) P :"i,.:S I :i E Tii ri B E ?n.? :. U B ! ai; €G RE. E0 Fr piiE S [: iiii.T l -"-, : British Virgin lslonds - lmmigrotion Deporture Cord l. Lost Nome: 2. Firsf Nome: 4.Flight #/Corrier. Desrription of Adirles Volue Officiol Use lmporl Duiies Whorloge Tolol 3. Middle Nome: 0f{icefs Signoture: Bodge #r
I 2. Residenfs 0nly: Dote of Deporfure: II 3. Arrivol
AircroffAesel:
Flight Number:
Internel Trovel Agent
tfiOrl:
Sig notu re:
The omounl of duly to be pid *ill h determined by the Cuslons
0f[icer; brsed upon lhe voluedeclcred gnd in serordome uith the
oppropriote loriff. Where o volid rmipl dos nol support fievslue
detlor€d the offirer moy ossess fte price whidr in hh opinion, the
goods would lekh on a
