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PASSENGER LIST CREW LIST - SEAMASTER.pl

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TREASURY DEPARTMENT<br />

UNITED STATES CUSTOMS SERVICE<br />

UNITED STATES DEPARTEMENT OF JUSTICE<br />

Immigration and Naturalization Service<br />

CARRIER ( Nationality, name, and official number of carrier)<br />

<strong>PASSENGER</strong> <strong>LIST</strong><br />

<strong>CREW</strong> <strong>LIST</strong><br />

(Cross out one)<br />

(Oath to be taken on Customs Form 1300 )<br />

2267LC TO RECORDER: (800) 438-0162<br />

Sheet No.<br />

Date of arrival/ arrival/departure( Cross out one ) Port of arrival/<br />

arrival/departure( Cross out one )<br />

Class (First, Cabin, Tourist, or Other)<br />

Last foreign port before arrival in United States (Place and Country) ( Date departed )<br />

If departing, show first port at and date on which carrier arrived in U.S. on this first trip. If departing, show first foreign port after dearture from United States<br />

(1)<br />

NAME IN FULL<br />

( List Alphabetically )<br />

Family name<br />

Given name and<br />

middle initial<br />

Total number<br />

I-418 (Rev. 10-1-85) Y<br />

WHSE.NO.0861 (02-91)<br />

(2)<br />

Date of Birth<br />

Nationality<br />

and<br />

passport number<br />

Position<br />

(3)<br />

<strong>CREW</strong><br />

Where shipped<br />

or engaged<br />

(4)<br />

<strong>CREW</strong> (Departing US Flag vessels only)<br />

USCG Z or C.D.B number and name<br />

and address of next of kin<br />

Form Approved<br />

OMB No. 1115-0083<br />

(5)<br />

This column for use<br />

Government officials only<br />

(except when carrying<br />

certain passengers. See<br />

Instructions)<br />

Agent _____________________________________________________________________


INSTRUCTIONS<br />

ALL NAMES AND OTHER DATA INSCRIBED ON THIS FORM MUST BE IN THE ENGLISH LANGUAGE<br />

<strong>PASSENGER</strong>S<br />

Incoming Com<strong>pl</strong>ete columns (1) and (5) when<br />

required below. Deliver one com<strong>pl</strong>ete alphabethical list, regardless<br />

of nationality, to United States Public Health Service,<br />

United States Immigration Service, and two such lists to<br />

United States Customs Bureau on arrival at first port in the<br />

United States. If insufficient space in column (2), information<br />

may extend into column (3).<br />

In column (5) show opposite a passenger's name the compartment<br />

or space occupied if that passenger is not allotted<br />

space for his or her exclusive use in the proportion of at least<br />

36 clear superficial feet (steerage) ; the sex and the married or<br />

single status of each passenger in such case; and the age of<br />

each passenger of 8 years or under. In addition, the age of<br />

each deceased passenger and the cause of death shall be<br />

shown, regardless of class.<br />

Departing Com<strong>pl</strong>ete columns (1) and (2). Deliver one<br />

com<strong>pl</strong>ete list to the United States Immigration Service at the<br />

last port of departure - to which is attached the Arrival,<br />

Departure Card (Form I-94) given to each nonimmigrant alien<br />

when he last arrived in the United States; otherwise, prepare<br />

and attach a new form I-94.<br />

<strong>CREW</strong><br />

Incoming Com<strong>pl</strong>ete columns (1),(2) and (3). Deliver<br />

one com<strong>pl</strong>ete alphabetical list to United States Health Service,<br />

United States Immigration Service, and two such lists to the<br />

United States Customs Bureau on arrival at the first port in the<br />

United States.<br />

Where a crewman is a returning resident alien, show his<br />

registration receipt card number in column (2) in lieu of passport<br />

number.<br />

Departing Submit a single copy of this form to the<br />

Immigration office at the port from which the vessel is to depart<br />

directly to a foreign port or <strong>pl</strong>ace, executed in accordance with<br />

the following instructions.<br />

<strong>CREW</strong> <strong>LIST</strong> VISA APPLICATION<br />

Com<strong>pl</strong>ete all items in the heading of the form and <strong>pl</strong>ace the<br />

following endorsement on the first line of the form: "Arrival<br />

Crewlist, Form I-418, filed at Show U. S. port of arrival.<br />

A Form I-418 which does not bear this endorsement will not<br />

be accepted.<br />

Notification of Changes in Crew - (1) Under a<br />

Heading "Added Crew men", list the names of nonresident<br />

alien crew men who were not members of the crew and manifested<br />

on Form I-418 as such when the vessel last arrived in<br />

the United States ; otherwise, prepare and attach a new Form<br />

I-95. (2) Under a heading "Separated Crewmen", list the<br />

names of all alien crewmen who arrived in the United States<br />

on the vessel as members of the crew on the occasion of the<br />

vessel's last arrival in the United States but who for any<br />

reason are not departing with the vessel, and for each such<br />

seperated crewmen, show his nationality, passport number,<br />

specific port and date of separation, and the reasons for<br />

failure to depart. (3) If there are no added and/or seperated<br />

alien crewmen upon departure, endorse the form "No<br />

changes in nonresident alien crew upon departure".<br />

The list required under (1) and (2) may be incorporated in<br />

single Form I-418, if space permits.<br />

United States Flag Vessels Only. Com<strong>pl</strong>ete<br />

column (1), (2), (3) and (4). Deliver two com<strong>pl</strong>ete crew lists<br />

to United States Customs Bureau at the last port of departure.<br />

The customs officer will certify one copy of this crew list in the<br />

space provided below and that copy shall be presented to<br />

the United States and on the return voyage. Show birth<strong>pl</strong>ace<br />

in column (2) in lieu of passport number.<br />

Submit form in du<strong>pl</strong>icate to a United States consular officer. For each alien crewman not in possession of a valid individual visa or Immigration and Naturalization<br />

Service Form I-151, note columns (4) and (5) of the du<strong>pl</strong>icate copy as follows: column (4) insert his date, city and country of birth, cloumn (5) insert <strong>pl</strong>ace<br />

of issuance and the authority issuing passport held by such crewman. Same information is required at port of entry when ap<strong>pl</strong>ying foe waiver of visa.<br />

Execute the following oath before a Customs Officer as to all arriving passegers on all vessels. The oath is to be executed before a Customs<br />

Officer as to all departing crew on United States Flag Vessels, and before an Immigration Officer or other officer authorized to administer<br />

oaths as to all departing passengers on all vessels.<br />

I ceritfy that Customs baggage declaration requirements have been made known to incomig passengers; that any<br />

required Customs baggage declarations have been or will simultaneously herewith be filed as required by law and<br />

regulation with the proper Customs officer; and that the responsebilities devolving upon this vessel in connection<br />

therewith, if any, have been or will be discharged as required by law or regulation before the proper Customs officer.<br />

I further certify that there are no steerage passengers on board this vessel (46 U.S.C. 151 - 163).<br />

Show in box below number of United States citizens and alien<br />

passengers embarked or to be debarked separately at each foreign<br />

port involved. If passenger list consists of more than one page,<br />

summarize on last page only. Separate summary should be prepared<br />

for each class when manifested separately.<br />

Foreign port of<br />

Embarkation<br />

(Cross out one)<br />

Debarkation<br />

Total<br />

Number or passengers<br />

U.S.C. Aliens<br />

Signature of Master<br />

CERIFICATION OF COPY OF <strong>CREW</strong> <strong>LIST</strong><br />

OF UNITED STATES FLAG VESSEL<br />

I certify that this is a true copy of the original crew list of the<br />

above-named American vessel, which original list is on file in<br />

this office.<br />

Given under my hand ad seal of office at the customhouse at<br />

on<br />

Customs Officer

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