1 CHECKED IN 　　　　　　　　　　　１ HANDCARRIED

I am/We are:

1, Bringing fruits, plants, meat, food, soil, birds, snails, other

　　live animals, wildlife products, farm products; or, have　　□Yes■No

　　been on a farm or ranch outside the Philippines:

2, Carrying Philippine notes and coins, checks, money order

　And other bills of exchange drawn in pesos against banks 　□Yes■No

　Operating in the Philippines in excess of P10,000 with

　Central bank authority.

3, Bringing firearms, parts and ammunition. 　　　　　　　　□Yes■No

4, Bringing in imported goods in excess of US＄350.00 　　　■Yes □No

5, ……(if yes ……,ask……) 　　　　　　　　　　　　　　　　□Yes ■No

SIGNATURE OF CUSTOMS OFFICER

DATE

LANE NO.