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Form Approved OMB No. 1651-0001; Exp.

03-31-2012

1. Name of Vessel 2. Nationality of Ship 3. IMO No. 4. Voyage No. Page No. DEPARTMENT OF HOMELAND SECURITY
U.S. Customs and Border Protection
of INWARD
5. Name of Master 6. Last Foreign Port Before U.S. 7. Port of Discharge 8. Date of Departure from 9. Time of Departure from
Port of Loading Port of Loading (Zulu) CARGO DECLARATION
19 CFR 4.7, 4.7a, 4.8, 4.33, 4.34, 4.38, 4.84,
4.85, 4.86, 4.91, 4.93, 4.99
10. 11. 12. 13. Answer Col. 14 OR Col. 15 16. 17.
No. & Kind of Packages 14. 15.
Shipper (SH) Bill of Marks & Nos. (MN) Description of Goods First Port/Place Foreign Port Where
Consignee (CO) Lading Container Nos. (CN) Hazardous Materials Gross Wt. Measurement Where Carrier Takes Cargo is Laden
Notify address (NF) No. Seal Nos. (SN) (Must Provide UN Code) (lb. or kg.) (per HTS) Possession of Cargo on Board

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Paperwork Reduction Act Statement: An agency may not conduct or sponsor an information collection and a person is not required to respond to this information unless it displays a
current valid OMB control number and an expiration date. The control number for this collection is 1651-0001. The estimated average time to complete this application is 10 minutes. If
you have any comments regarding the burden estimate you can write to U.S. Customs and Border Protection, Office of Regulations and Rulings, 799 9th Street, NW., Washington DC
20229.

CBP Form 1302 (06/09)

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