(-A-)

Japan Customs
Customs Form C No.5360-B

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

Flight No./Name of VesselYear

Date of Arrival in JapanMonth

Last name (or Surname)Day

First & middle nameName
Address in Japan(Accommodation)

Tel(Nationality
Date of Birth)

Occupation
YearMonthDay

Over 20 years old

6-19 years old

Under 6 years old

Passport No.
Number ofFamily members
Traveling with You※ Please answer with a "✓"mark to the following questions.
１. Are you bringing the following into Japan ? Yes

No① Narcotic drugs, Firearms, Explosives and other Prohibited item(s)(Please refer to 1. of side B.)② Meat products, Vegetables, Fruits, Animals, Plants and otherRestricted item(s) (Please refer to 2. of side B.)③ Gold bullion or products of gold
④ Goods (purchases, souvenirs, gifts) exceeding duty-freeallowance (Please refer to 3. of side B.)⑤ Commercial goods or samples⑥ Any items you have been requested from someoneelse to bring into Japan (These include the bags such as suitcasesand similar containers and the items that someone else gave you
without letting you know the reason.)＊If your answer to any of the questions above is "Yes", please list

your belongings in "Description of Accompanied Articles" on side B.
２. Cash, Checks (including T/C), Promissory

Yes

No

Notes, Securities which exceed theamount of 1,000,000 yen or its equivalent,or precious metals, etc. exceeding 1kg.
＊If you choose "Yes", please submit "DECLARATION OF CARRYING
OF MEANS OF PAYMENT, ETC" to Customs.

３. Do you have Unaccompanied Articles ?
Yes（PKG(S))

No＊ If you have any unaccompanied articles, please submit this Declaration Formin 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 todeclare all the articles that you have purchased abroad or indepartures/arrivals duty-free shops in Japan and are bringing into
Japan. Any false declaration or failure to declare may be subject topenalty in laws and regulations concerned.

I declare that the above particulars are true and correct.
Signature(-Ｂ-)※ 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 accompanyingfamily 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 theunaccompanied articles in this section.

Alcoholic Beverages

Bottle(s) ＊Customs

Cigarettes

Piece(s)Tobacco Heat-Not-Burn
Products
Cigars

Piece(s)OthersPerfumeDescription of other goods

use onlybox(es)gozQuantity

Market Value＊Customs use onlyYen

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 orparts thereof.
③ Explosives, gunpowder, materials for chemical weapons, germs such asanthrax.
④ Counterfeit, altered or imitated coins, bank notes or securities, andforged 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 Counterprior 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.

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 toCustoms .We appreciate your understanding for Customs inspection.