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pdfDEPARTMENT OF HOMELAND SECURITY
OMB Approval No: 1651-0019
Expiration Date: 04/30/2019
Estimated Burden: 30 Min
U.S. Customs and Border Protection
VESSEL ENTRANCE OR CLEARANCE STATEMENT
19 CFR Part 4
ENTRANCE
TRADE CODES (see back)
1. Manifest No.
2. Port Arrival/Departure
5. Nationality, Name and Type of Vessel
Check One:
3. Date & Time of Arrival/Departure
6. Vessel Built at/Year
8. Name & Country of Owner
1
2
CLEARANCE
3
4
5
6
4. Vessel Operating Draft (in feet and inches)
ft.
in.
7. Name, Address & Phone No. of
Ship's Agent
9. Name & Country of Operator
10. Gross Tonnage 11. Net Tonnage
13. IMO #
12. Port Arrived From/Departed For
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
22. Bunkers: Type,
Barrels, Value
None
Submerged
Not Submerged
23. Load Line Expires
24. Solas Certificate Expires
27. Cert. Of Fin. Resp. No. (Water Pollution)
and Exp. Date
25. Passengers Allowed Per
Coast Guard Certificate
28. Cert. Of Fin. Resp. (Passenger Death/
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 (4/18)
Page 1 of 2
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 Bulk
(6)
Domestic or Coastwise General Cargo
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 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 1651-0019. The estimated average time to complete this application is 30 minutes. Obligation to respond is
Mandatory. If you have any comments regarding the burden estimate you can write to U.S. Customs and Border Protection, Office of
Regulations and Rulings, 90 K Street NE, Washington DC 20229.
CBP Form 1300 (4/18)
Page 2 of 2
File Type | application/pdf |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |