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APPLICATION FOR U. S. CUSTOMS BOND, FORM 301
Federal I.D. Number (I.R.S. #) or S.S. #
Name and Address of Firm
If Individual: FIRST, MIDDLE, LAST NAME
The Bond Will Cover
Check As Appropriate
Activity Code 3 (INTERNATIONAL CARRIER)
Airline Express Consignment NVOCC
Steamship Line Vessel Agent Other
Activity Code 3A (INSTRUMENT OF INTERNATIONAL TRAFFIC)
If An Airline...
Number of Aircrafts:
Number of Flights Per Month with Passengers Only:
Number of Flights Per Month with Cargo Only:
Number of Flights Per Month with Cargo and Passengers:
Carrier Agreement with U.S. Customs Service:
Has Taken Measures to Improve Security Practice:
Ports of Call (Foreign):
Ports of Entry (United States):
If A Steamship Line
Number of Vessels:
Number of Voyages Per Month with Passengers Only:
Number of Voyages Per Month with Cargo Only:
Number of Voyages Per Month with Cargo and Passengers:
Carrier Agreement with U.S. Customs Service:
Has Taken Measures to Improve Security Practice:
Ports of Call (Foreign):
Ports of Entry (United States):
CERTIFICATION
I CERTIFY that the factual information contained in this application is true and accurate and any information provided which is based upon estimates is based upon the best information available on the date of this application.
Name:
Title:
Date:
Email:

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