Brazil Arrival Card

Brazil Electronic Customs Declaration All fields must be completed in English

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Application Form

Name (ACCORDING TO IDENTIFICATION DOCUMENT) *

Surname (ACCORDING TO IDENTIFICATION DOCUMENT) *

Purpose of trip *

Date of Birth *

Gender *

Male

Female

Country of nationality *

Email Address *

Confirm Email Address *

Document type *

Travel Document number (SELECTED ABOVE) *

Expiration date *

Migratory Movement Type *

Transport Type *

Transport Identifier (Plate, Number or Ship Name) *

Entry Date *

Exit Date *

I accept the Terms and Conditions.

Your Information Is Secure And Encrypted.