Garuda Indonesia Colours Magazine October 2013 | Page 202
200
Customs Declaration Assistance
Customs Declaration Assistance
CUSTOMS DECLARATION ASSISTANCE
Our guide to assist you in correctly completing
the Indonesian Customs Declaration form. If you
have any queries, please ask a member of your cabin
crew, who will be glad to help.
ࣥࢻࢿࢩฟධᅜ࣮࢝ࢻグධ
R120115252
ARRIVAL CARD
Please write clearly - use block letter
*= Put a check mark (9) In the suitable box
FULL NAME (as appears in passport)
インドネシア税関申告書の記入方法をご説明しま
す。
ご不明な点、
ご質問がございましたら、
客室乗務
員にお声をお掛けください。
N A
O
K
A
J
I
M A
SEX
9
S
E
G
A
P
A N
E
MALE
I
R
FEMALE
PLACE OF BIRTH
T
O K
Y
O
J
A
P
A N
1
9
7
5
5
6
7
8
DATE OF BIRTH (DD-MM-YYYY)
Each arriving Passenger/Crew must submit Customs Declaration (only one
Customs Declaration per family is required)
1. Full Name
2. Date of Birth
Date
Month
3. Occupation
4. Nationality
5. Passport Number
6. Address in Indonesia (hotel name/residence address)
Year
0
1
M E
税関申告書
各到着便の乗客は、税関申告書（各家族一枚の申告書）を提出する義務が
あります。
1. 姓名（姓が先、名が後）
1
2
3
4
9
PLACE OF ISSUE
T
O K
Y
O
J
A
P
A N
DATE OF EXPIRY (DD-MM-YYYY)
0
1
0
1
2
0
1
5
J
A
P
A N
COUNTRY OF RESIDENCE
J
A
P
A N
LAST PLACE OF EMBARKATION
T
O K
Y
0
8
8
1
2
3
4
5
6
7
8
9
10
9
Professional/Technical
Student
Management/Administration
Housewife
Sales/Clerical
Others
12
PURPOSE OF VISIT*
Business
Education
Official mission
Leisure
Conventions
Others
13
Holiday/Visiting friends/relatives
ACCOMODATION
Hotel
Apartment
Residence of friends/relatives
Others
INTENDED LENGTH OF STAY
ADDRESS IN INDONESIA
G
A
R
U
D
A
G
VOA
FOR OFFICIAL USE
G
BVKS
VS
(2)
11
1
G
VITAS
5
H O
14
15
Days
T
E
L
16
PASSENGER SIGNATURE
VK
17
(3)
7. 搭乗便名
Date
Month
Year
9. Number of family members traveling with you (only for Passenger)
10. a. Number of accompanied baggage
b. Number of unaccompanied baggage (if any, and see the
reverse side of this form)
11. I am (We are) bringing:
Yes (9)
a. Animals, fish and plants including their products
(vegetables, food, etc.).
b. Narcotics, psychotropic substances, precursor,
drugs, fire arms, air gun, sharp object (ie, sword,
knife), ammunition, explosives, pornographic articles.
c. Currency and/or bearer negotiable instruments in Rupiah
or other currencies which equals to the
amount of 100 million Rupiah or more.
d. More than 200 cigarettes or 25 cigars or 100 grams of
sliced tobacco, and 1 liter drinks containing ethyl
alcohol (for passenger); or more than 40 cigarettes or
10 cigars or 40 grams of sliced tobacco, and 350
millilitre drinks containing ethyl alcohol (for crew).
e. Commercial merchandise
(articles for sale, sample used for soliciting orders,
materials or components used for industrial
purposes, and/or goods that are not considered as
personal effect).
f. Goods purchased/obtained abroad and will remain in
Indonesia with total value exceeding USD 50.00 per
person (for Crew); or USD 250. 00 per person or USD
1,000.00 per family (for Passenger).
8. 入国日
日
月
年
9. 同行家数の総人数（本人を除く）
PKG
PKG
No (8)
If you tick ''Yes" to any of the questions number 11 above, please notify on the reverse
side of this form and please go to RED CHANNEL. If you tick "No" to all of the
questions above, please go to GREEN CHANNEL.
I HAVE READ THE INFORMATION ON THE REVERSE SIDE OF THIS FORM AND
HAVE MADE A TRUTHFUL DECLARATION
10