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pdfDEPARTMENT OF HOMELAND SECURITY
Approved OMB. No. 1651-0019
Exp. 10-31-2008
U.S. Customs and Border Protection
VESSEL ENTRANCE OR CLEARANCE STATEMENT
19 CFR Part 4
See back for Instructions
ENTRANCE
1. Manifest No.
2. Port Arrival/Departure
5. Nationality, Name and Type of Vessel
CLEARANCE
Check One:
TRADE CODES (see back)
1
2
3
4
5
6
3. Date & Time of Arrival/Departure 4. Vessel Operating Draft (in feet and inches)
ft.
in.
7. Name, Address & Phone No. of
Ship's Agent
6. Vessel Built at/Year
8. Name & Country of Owner
9. Name & Country of Operator
10. Gross Tonnage 11. Net Tonnage 12. Port Arrived From/Departed For
13. IMO #
Official #
Call Sign
14. List All Dock Locations (continue on back if necessary)
15. Particulars of Voyage (Previous and subsequent Ports of Call, include dates; underline where remaining cargo will be discharged)
(Con't on back)
16. Brief Description of Cargo
17.
Check if Incomplete Manifest for Export
Check if Licensed Cargo Loaded
Check if Complete Manifest filed for Export
18. No. of Crew 19. No. of Passengers 20. List All Carriers on
board by SCAC Code
21. Tonnage Mark
None
Submerged
22. Bunkers: Type,
Barrels, Value
Not Submerged
23. Load Line Expires
24. Solas Certificate Expires
25. Passengers Allowed Per
Coast Guard Certificate
27. Cert. Of Fin. Resp. No. (Water Pollution) 28. Cert. Of Fin. Resp. (Passenger Death/
and Exp. Date
Injury)
26. No. of Passengers
Embarking/Disembarking
29. Cert. Of Fin. Resp. (Passenger
Transportation Indemnification)
30. PURPOSE OF ENTRANCE OR CLEARANCE
D (Discharge Foreign Cargo)
F (FROB - Foreign Cargo to Remain on Board)
X (Export Cargo Aboard on Arrival)
N (No Cargo transactions)
L (Lade Cargo for Export)
Y (Military Cargo for Discharge/to be Laden)
31. Print and Sign Name of Master, Authorized Agent or Officer, Date
FOR CBP USE ONLY
32.
CBP User Fee Paid Up*
33.
35. Cash Receipt, CBP 368 or Transaction No.
APHIS User Fee Paid Up*
36. Total Fees Collected
34.
Tonnage Tax Paid Up *
37. Port Entered/Cleared, Time and Date
38. CBP Officer Remarks
39. Signature and Title of Officer Receiving Entry/Granting Clearance
*Check boxes only if fees not collected
CBP Form 1300 (02/02)
INSTRUCTIONS
Trade Codes: Please enter the code that best describes the arriving or departing vessel
(1)
Foreign in Ballast
(2)
Foreign Bulk
(3)
Foreign General Cargo
(4)
Domestic or Coastwise Ballast
(5)
Domestic or Coastwise General Cargo
(6)
Domestic or Coastwise Bulk
Block 4 - Vessel Operating Draft: (not the design draft)
Deepest draft of the vessel on entrance (in feet and inches)
Deepest draft of the vessel on clearance (in feet and inches)
Block 5 - Vessel Types: List one of the codes and descriptions from below:
111
112
140
150
210
229
310
325
330
333
340
341
Crude Oil Tanker
Crude/Products Tanker
Tank Barge
Other Tanker
Bulk/Oil Carrier
Bulk Carrier
Container
Vehicle Carrier
General Cargo
RO-RO Cargo
Dry Cargo Barge
Deck Barge
350
410
421
422
431
432
492
493
494
499
600
Passenger
Fish Processing & Catching
Drilling Ship
Tug/Supply Offshore Support
Tug/Tow Boat
Pushboat
Research/Survey
Dredger
Yacht
Other NEI
Lakers Vessels
Block 9 - Operator as listed on the Certificate of Financial Responsibility (Water Pollution): unless other verifiable charter or lease
arrangement indicates otherwise.
Block 14 - Additional Information
Block 15 - Additional Information
PAPERWORK REDUCTION ACT NOTICE: This request is in accordance with the Paperwork Reduction Act. The information to be
provided is submitted by the master of vessel and is used by U.S. Customs and Border Protection to attest to the truthfulness of the
forms, certificates, and manifest on board and which must be presented to CBP. Completion of this form is mandatory. It is also used by
CBP to verify the various registration certificates and numbers. The estimated average burden associated with this collection
of information is 30 minutes per respondent depending on individual circumstances. Comments concerning the accuracy of this burden
estimate and suggestions for reducing this burden should be directed to U.S. Customs and Border Protection, Information Services
Division, Washington, DC 20229, and to the Office of Management and Budget, Paperwork Reduction Project (1651-0019),
Washington, DC 20503.
CBP Form 1300 (02/02)(Back)
File Type | application/pdf |
File Modified | 2008-09-16 |
File Created | 2008-09-16 |