(-A-)
Japan Customs
Customs Form C No.5360-B
Fli
g
ht No./Name of Vesse
l
（
CUSTOMS DECLARATION
Declaration of Accompanied Articles and Unaccompanied Articles
Please fill in the following information and submit to Customs.
(Only one written declaration per family is required.)
Point of embarkation
Date of Arrival in Japan
Year Mont
h
Da
y
)
Name
Last name (or Surname) First & middle name
Year Mont
h
Da
y
Address in Japan
(Accommodation)
Tel
(
6-19
y
ears old Under 6
y
ears old
Nationality Occupation
Date of Birth
※ Please answer with a "✓"mark to the following questions.
１. Are you bringing the following into Japan ?
Yes No
① Narcotic drugs, Firearms, Explosives and other Prohibited item(s)
(Please refer to 1. of side B.)
②
Meat products, Vegetables, Fruits, Animals, Plants and other
Restricted item(s) (Please refer to 2. of side B.)
③ Gold bullion or products of gold
④ Goods (purchases, souvenirs, gifts) exceeding duty-free
allowance (Please refer to 3. of side B.)
⑤ Commercial goods or samples
⑥ Any items you have been requested from someone
else to bring into Japan (These include the bags such as suitcases
and similar containers and the items that someone else gave you
without letting you know the reason.)
Passport No.
Number of
Family members
Traveling with You
Over 20
y
ears old
２.
Cash, Checks (including T/C), Promissory
Notes, Securities which exceed the
amount of 1,000,000 yen or its equivalent,
or precious metals, etc. exceeding 1kg.
Yes No
＊If you choose "Yes", please submit "DECLARATION OF CARRYING
OF MEANS OF PAYMENT, ETC" to Customs.
３. Do you have Unaccompanied Articles ?
＊
If your answer to any of the questions above is "Yes", please list
your belongings in "Description of Accompanied Articles" on side B.
I declare that the above particulars are true and correct.
Signature
Yes
PKG(S)
)No
＊ If you have any unaccompanied articles, please submit this Declaration Form
in duplicate. Unaccompanied articles shall be imported within 6 months
from the date of your arrival. The sealed declaration must be presented
at the time of clearance of the unaccompanied articles.
《NOTICE》
As regulated by laws and regulations concerned, you are required to
declare all the articles that you have purchased abroad or in
departures/arrivals duty-free shops in Japan and are bringing into
Japan. Any false declaration or failure to declare may be subject to
penalty in laws and regulations concerned.
※
Bottle(s)
Piece(s)
box(es)
Piece(s)
g
oz
Thank you for your cooperation in completing this Declaration
Form.As regulated in laws and regulations concerned, every person
entering Japan is required to submit this Declaration Form to
Customs.
We appreciate your understanding for Customs inspection.
１. PROHIBITED ARTICLES
(
EXAMPLE
)
① Narcotic drugs, stimulants, marijuana, opium, psychotropic substances,
MDMA, designated drugs.
② Firearms such as pistols, revolvers and machine guns, and bullets or
parts thereof.
③ Explosives, gunpowder, materials for chemical weapons, germs such as
anthrax.
④ Counterfeit, altered or imitated coins, bank notes or securities, and
forged credit cards.
⑤ Obscene or immoral materials, and child pornography.
⑥
Articles which infringe upon intellectual property rights. (patent, utility
model, design, trademark, copyright, neighboring right, etc.)
２. RESTRICTED ARTICLES
(
EXAMPLE
)
① Hunting guns, air guns, swords.
② Internationally protected endangered animals and plants, or their products.
(crocodiles, cobras, turtles, ivory, musk, cactus, etc.)
③ Live animals and plants, meat products (including sausage and jerky),
vegetables, fruits, or rice that require the quarantine inspection.
＊They are required to be checked at the Animal/Plant Quarantine Counter
prior to Customs inspection.
３. Duty-Free Allowance ( for each person, other than crew members)
･3 bottles (760ml as a bottle) of alcoholic beverages.
･
Cigarettes: 200 cigarettes (Regardless of Japan-made or foreign-made.)
＊There is no duty-free allowance for alcoholic beverages and tobacco products for
those under 20 years old.
･All goods for personal use other than the above items with a total
overseas market value not exceeding 200,000 yen.
＊When the price of an article exceeds 200,000 yen, duties and/or taxes will be imposed on
its entire value.
＊As for children under 6 years old, duty-free allowances are limited to the articles owned
for their personal use.
＊Customs use only
Yen
Others
Perfume
Description of other goods
Quantity Market Value
Heat-Not-Burn
(-Ｂ-)
Alcoholic Beverages
＊Customs
use only
Tobacco
Products
Cigarettes
Cigars
Description of Accompanied Articles
(If you choose “No” to all the questions of 1. and 3.
on side A, you are not required to fill in this section.)
* Regarding “Description of other goods” field in the below chart,
if the total market value of each item which the arriving traveler
who declares to Customs for oneself and the accompanying
family uses for their personal use does not exceed 10,000 yen,
you are not required to fill in this field.
You are not required to provide the information about the
unaccompanied articles in this section.
