VI. A. Imagine that you are going abroad. Fill out the declaration

Keep for the duration of your stay in Russia or abroad. Not renewable in case of loss.

Persons giving false information in the Customs Declaration or to Customs officers shall render themselves liable under the laws of Russia.

CUSTOMS DECLARATION Full name______________________________________________________________ Citizenship_____________________________________________________________ Arriving from___________________________________________________________ Country of destination____________________________________________________ Purpose of visit (business, tourism, private, etc.)_______________________________ My luggage (including hand luggage) submitted for Customs inspection consists of_______ pieces With me in my luggage I have: I. Weapons of all descriptions and ammunition_________________________________ II. Narcotics and appliances for the use there of________________________________ III. Antiques and objects of art (painting, drawing, icons, sculptures, etc.)___________ IV. Russian roubles, Russian State Loan bonds, Russian lottery tickets______________ V. Currency other than Russian roubles (banknotes, exchequer bills, coins), payment vouchers (cheques, bills, letters of credit, etc.), securities in foreign currencies, precious metals (gold, silver, platinum, metals of platinum group) in any form or condition, crude and processed natural precious stones (diamond, brilliants, rubies, emeralds, sapphires and pearls), jewelry and other articles made of precious metals and precious stones, and scrap thereof, as well as property papers:

Description	Amount / quantity	For official use
in figures	in words

VI. Russian roubles, other currency, payment vouchers, valuables and other objects belonging to other persons_________________________________________________

I am aware that, in addition to the objects listed in the Customs Declaration, I must submit for inspection: printed matter, manuscripts, films, sound recordings, postage stamps, graphics, etc., plants, fruits, seeds, live animal and birds, as well as raw foodstuffs of animal origin and slaughtered fowl.

I also declare that my luggage sent separately consists of ____________ pieces.

Date________________ Owner of luggage (signed)____________________________

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