(별지 제2호서식)

크루즈여행자 일괄신고서

En Bloc Declaration Form for Cruise Passengers

○ 일반사항(General Information)

입 항 Entry			여행자 수 No. of Passengers	승무원 수 No. of crew members	신고대상물품 소지자(명) No. of passengers who carry Goods to declare	신고대상물품 미소지자(명) No. of passengers who do not carry Goods to Declare	하선자(명) No. of people disembarking from the vessel
일자 Date	선 명 Vessel Name	출발국 Country of departure

※ 하선자 : 국내에서 하선하는 거주자 또는 본국으로 귀국하는 비거주자

(People disembarking from the vessel : Local residents disembarking from the vessel or non-residents disembarking to return to his/her home country)

○ 신고대상물품 소지자 현황(Detailed information on passengers carrying goods to Declare)

연번 No	성 명 Name	생년월일 Date of Birth	여권번호 Passport No	성별 Gender	신고대상 물품부호 Code of Goods to Declare
1
2
3

「여행자 및 승무원 휴대품 통관에 관한 고시」 제13조에 따라 위와 같이 일괄신고서를 제출합니다.

(I hereby submit the en bloc declaration form in accordance with the Article 13 of Public Notice on customs clearance of personal effects of passengers and crew members)

년     월      일

Day    Month   Year

신고인       성명 :                (서명 또는 인)

Declarant     Name                   (signature)

대리신고인   상호 :                (서명 또는 인)

Agent Name(or Company)                  (signature)

< Goods to Declare >

A. B. C. D.		Firearms, knives, crossbows or other weapons, explosives, bullets, poisonous, radioactive substances, monitoring facilities Illicit drug such as opium, heroin, cocaine, methamphetamine, MDMA, cannabis, or any medicine such as diet pills that may be prohibited or subject to restrictions by law US$10,000 or more, or equivalent in Korean or foreign currency, securities, etc. (Anyone who carries the above amount should report to the Customs and be given certificate of foreign currency declaration.) Passengers who carry animals, plants, livestock products, live aquatic animals, fruits or vegetables or have visited farm in the country where livestock epidemic disease broke out.	E. F. G. H. I. J. K. L. M.		Internationally protected endangered animals, plants, or their products(tigers, cobras, turtles, crocodiles, coral, bear's gall, musk, orchids, cacti, etc.) Fake goods or other item that infringes Intellectual Property Right. Counterfeit currency, notes or securities Articles harmful to the national constitution, public security or morals Commercial goods for sale and corporate goods, A.T.A. Carnet goods Goods exceeding duty-free allowance Goods which you are asked to carry by other people Goods subject to preferential tariff treatment as originating in the country that you have travelled Any other Goods or fact that you are to declare to Customs

210mm×297mm(일반용지 60g/㎡(재활용품))