[PDF] DEPARTMENT OF HOMELAND SECURITY US Customs and Border



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APPLICATION AND APPROVAL TO MANIPULATE, EXAMINE, SAMPLE OR

Customs and Border Protection Officers Report on Reverse APPLICATION AND APPROVAL TO MANIPULATE, EXAMINE, SAMPLE OR TRANSFER GOODS 19 CFR 19 8, 19 11, 158 43 1 GOODS CONSIGNED TO (Name) 2 GOODS EXPORTED FROM 3 PORT/PORT CODE AND DATE OF APPLICATION CBP Form 3499 (12/16) 4 LOCATION OF GOODS 5 CARRIER OR SHIP (Name) 6 BILL OF LADING



OMB Control Number: 1651-0010 Expiration Date: 09/30/2022

CBP Form 4457 (09/19) DEPARTMENT OF HOMELAND SECURITY U S Customs and Border Protection CERTIFICATE OF REGISTRATION FOR PERSONAL EFFECTS TAKEN ABROAD 19 CFR 148 1 Port Date Signature of CBP Official



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US Customs and Border Protection OMB APPROVAL NO 1651-0064

document Any Customs Broker or third party who is submitting the information on your behalf is only obligated to convey this information to Customs and Border Protection (CBP) TYPE OF ACTION (Mark all applicable): Notification of identification number Change of name* Change of address* 1 NAME AND IDENTIFICATION NUMBER 1A



US Customs and Border Protection - USEmbassygov

U S Customs and Border Protection U S Department of Homeland Security USCBP, American Embassy Shantipath, Chanakyapuri New Delhi, India APPLICATION FOR TRANSPORTATION/BOARDING LETTER This form is an application for a Transportation Letter to travel to the United States, by a Lawful Permanent



DEPARTMENT OF HOMELAND SECURITY US Customs and Border

We ask for this information to carry out U S Customs and Border Protection laws of the United States This form is used by licensed cartmen or lightermen or their employees as an application to apply for a CBP identification card and is required to obtain or retain a benefit



DEPARTMENT OF HOMELAND SECURITY US Customs and Border

U S Customs and Border Protection POWER OF ATTORNEY 19 CFR 141 32 Check appropriate box: Individual Corporation Sole Proprietorship KNOW ALL MEN BY THESE PRESENTS: That (Full Name of person, partnership, or corporation, or sole proprietorship; identify) a corporation doing business under the laws of the State of or a doing business as residing at





US Customs and Border Protection - Forfeiture

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APPLICATION FOR IDENTIFICATION CARD

1. TYPE OF ACTIVITY REQUIRING IDENTIFICATION CARD2. DATE OF THIS APPLICATION

3. NAME

(Last, First, & Middle)

4. SOCIAL SECURITY NUMBER

6. DATE OF BIRTH5. LIST ANY OTHER NAMES YOU HAVE EVER BEEN KNOWN BY (Nicknames, aliases, etc.)

7. HOME ADDRESS

(Number, Street, City, State, and ZIP Code)

8. NAME AND ADDRESS OF PRESENT EMPLOYER

9. HOME PHONE NUMBER10. BUSINESS PHONE NUMBER

11. PLACE OF BIRTH (City, County, State, and Country) 12. HEIGHT

13. WEIGHT14. COLOR HAIR15. COLOR EYES

16. VISIBLE SCARS OR MARKS

17. U.S. COAST GUARD PORT SECURITY CARD NUMBER

19. HAVE YOU EVER APPLIED FOR CARD IN ITEM 17 OR ITEM

18?18. U.S. MERCHANT MARINE CARD NUMBER

20. HAS APPLICATION FOR EITHER CARD IN ITEM 17 OR 18 BEEN

DENIED?

21. EXPLANATION OF APPLICATION DENIAL22. LIST ALL RESIDENCES DURING THE LAST 5 YEARS (List in reverse order, beginning with the present address)

DATES

FromToNumber and StreetCityState

23. HAVE YOU EVER SERVED IN THE ARMED SERVICES OF THE U.S.?

24. BRANCH OF SERVICE

25. DATES OF SERVICE26. SERIAL NUMBER

27. TYPE OF DISCHARGE

28. IF DISCHARGE WAS OTHER THAN HONORABLE, EXPLAIN IN FULL DETAILPRESENT29. HAVE YOU EVER APPLIED FOR AN IDENTIFICATION CARD WITH U.S. CUSTOMS AND BORDER PROTECTION?

YESNO(Skip Items 20 and 21)YESNO(Skip Item 21)(If Yes, explain in Item 21)

YESNO(Skip Items 24-28)

YES NO(If Yes, explain details)CBP Form 3078 (04/08)19 U.S.C. 66, 1551, 1555, 1565, 1624, 1641;

19 CFR 112.42, 118, 122.182, 146.6

DEPARTMENT OF HOMELAND SECURITY

U.S. Customs and Border Protection

OMB No.1651-0008

Exp. 10-31-2012

Cartman/

LightermanBroker's EmployeeCBP Security Area IdentificationWarehouse Officer or EmployeeContainer Station EmployeeForeign Trade Zone Employee

CES

Employee

30. PREVIOUS EMPLOYMENT -- LIST IN CHRONOLOGICAL ORDER, GIVING EARLIEST

EMPLOYMENT FIRST (Last 10 Years)

DATES

FromTo

EMPLOYER NAME AND ADDRESSOCCUPATION

31. HAVE YOU EVER BEEN CONVICTED OF ANY CRIME OR OFFENSE (Other than traffic violations, you

may exclude any items which occurred before your 16th birthday) IN THIS COUNTRY OR ELSEWHERE? NO

32. EXPLANATION OF ALL CONVICTIONS (Federal, State, Military, or Foreign)

DatePlaceChargeCourtFinal Disposition

34. ATTACH PHOTOGRAPH HERE33. DO YOU NOW USE OR HAVE YOU EVER USED NARCOTIC DRUGS?

NOYES (If YES, explain

below.) 35.

CERTIFICATION

I certify that all of the statements made in this Application are true, complete, and correct to the best of my knowledge and belief, and are made in good faith.

SIGNATUREDATE

X Paperwork Reduction Act Notice: The Paperwork Reduction Act says we mus t tell you why we are collecting this information, how we will use it, a nd whether you have to give it to us. We ask for this information to carry out U.S . Customs and Border Protection laws of the United States. This form is used by licensed cartmen or lightermen or their employees as an application to a pply for a CBP identification card and is required to obtain or retain a benefit. The estimated average burden associated with this collection of information is 17 minutes per respondent or recordkeeper depending on individual cir cumstances. The valid OMB Control Number for this Information Collection is 1651-000 8. Pursuant to the requirements of Public law 93-579 (Privacy Act of 1974) , notice is hereby given that the authority to collect information on CB

P Form 3078 is

5 U.S.C. 301, Reorganization Plan No. 1 of 1950; 19 U.S.C. 1551, 1565, 1

624, 1641; 19 CFR 112.42. The principal purpose for collecting the info

rmation is to enable CBP to conduct a background investigation and thereby determin e whether the applicant meets the criteria required for the issuance of an identification card. The information collected and contained in the app licant's file may be provided to those employees of CBP who have a need for the records in the performance of their duties. The information may also be used, when deemed appropriate, in a proceeding to revoke or suspend the identification card. Disclosure of all information requested on CBP For m 3078 is voluntary; however, failure to disclose some or all of this in formation may result in CBP's inability to conduct the required background investigati on.

CBP Form 3078 (04/08)

YES (If YES, explain in Item 32.)quotesdbs_dbs14.pdfusesText_20