Report

(Traveller) - Front

Report
(Traveller) - Back

1
Report
(Traveller)
Step 1 : Fill in your Particulars

1. State whether you

are entering or
leaving Singapore

2. Fill in your name

3. State your gender

4. Fill in your date

of birth

Report
(Traveller)
Step 1 : Fill in your Particulars (Cont’d)

1. Fill in your
passport number

2. Fill in the country

of issue
3. State your
nationality

4. State your
occupation

2
Report
(Traveller)
Step 1 : Fill in your Particulars (Cont’d)

1. Fill in your
permanent address
2. If your address in
Singapore differs
from the above, state
the address while in
Singapore (e.g.
name of hotel for
tourists)
3. State the country
from which CBNI
was moved

4. State the country

to which CBNI is to
be moved

Report
(Traveller)
Step 2 : Fill in the Details of CBNI
z If you carry more than one type of CBNI, fill in them one by one
z If you carry more than three types of CBNI, use a new form for the
remaining CBNI
z If you carry CBNI for other person or company in addition to yours,
use a new form for each person or company

3
Report
(Traveller)
Step 2 : Fill in the Details of CBNI
z Scenario : Carriage of Currency SGD 20,000, Traveller’s Cheque
USD 15,000 & Bearer Cheque EUR 10,000

1.Tick the first type of

CBNI eg Currency

2. Fill in currency
code and amount
e.g. SGD 20,000
3.Tick the second
type of CBNI e.g.
Traveller’s cheque
4. Enter currency
code and amount
e.g. USD 15,000

Report
(Traveller)
Step 2 : Fill in the Details of CBNI (Cont’d)

1.Tick the third type

of CBNI e.g. Bearer
Cheque

2. Enter currency
code and amount
e.g. EUR 10,000

4
Report
(Traveller)
Step 2 : Fill in the Ownership Details
z Scenario : If you own CBNI and the intended use is ‘Personal’, fill in
as follows:

1. State reason for

carrying CBNI as
‘Personal’
2.State you own the
CBNI

Report
(Traveller)
Step 3 : Fill in the Ownership Details (Cont’d)

Fill in NA or ‘Not
Applicable’ for
Question 4 since
you are the owner

5
Report
(Traveller)
Step 3 : Fill in the Ownership Details (Cont’d)

Fill in NA or ‘Not
Applicable’ for
Question 5 since
you are the user

Report
(Traveller)
Step 3 : Fill in the Ownership Details
z Scenario : If you own CBNI and the intended use is ‘Gift to Relative’,
fill in as follows:

1.State reason for

carrying CBNI as ‘Gift to
relative’

2.State you own the

CBNI

6
Report
(Traveller)
Step 3 : Fill in the Ownership Details (Cont’d)

Fill in NA or
‘Not Applicable’
for Question 4
since you are
the owner

Report
(Traveller)
Step 3 : Fill in the Ownership Details (Cont’d)

1. Fill in the name of

person (relative) who is
the intended recipient

2. Fill in the address of

person (relative) who is
the intended recipient

7
Report
(Traveller)
Step 3 : Fill in the Ownership Details
z Scenario : If you assist your company to bring CBNI into
Singapore on behalf of a client (person), fill in as follows:

1.State reason for

carrying CBNI as
‘Business’
2.State you do not own
the CBNI

Report
(Traveller)
Step 3 : Fill in the Ownership Details (Cont’d)

1. Fill in the name of

person (client) from
whom you received the
CBNI
2. Fill in the address
of person (client)
from whom you
received the CBNI

8
Report
(Traveller)
Step 3 : Fill in the Ownership Details (Cont’d)

1. Fill in the name of entity

(company) that is the
intended recipient

2. Fill in the address of

entity (company) that is
the intended recipient

Report
(Traveller)
Step 4 : End off with your
Signature

1. Please sign here

2. Fill in the date