Sample Cayman Islands - Disembarkation Card






FRONT
Cayman Islands
Immigration Department
International Embarkation
Disembarkation Card
CAYMAN
ISLANDS

www.caymanislands.ky
www.gov.ky

Welcome to the Cayman Islands

PLEASE PRINT CLEARLY


  • (Last Name/Surname) MR. MRS. MS.


  • (First/Given Name)


  • Home Address: (Street)


  • (City) (State)


  • (Postal/Zip Code)


  • Country of Citizenship:


  • Passport Number:


  • Date of Birth: (Day/Month/Year)


  • Flight #:


  • Intended Length of stay # of nights:


  • Signature:
TO BE COMPLETED BY VISITORS ONLY
PURPOSE OF VISIT
≅Leisure
≅Business
≅Dive Vacation
≅Seeking Employment
≅Visiting friends & relatives
≅Taking up Employment
≅Wedding Honeymoon
≅In Transit
OCCUPATION
≅Managerial
≅Professional
≅Service/Trade
≅Student
≅Retired
ADDRESS IN THE CAYMAN ISLANDS
Address:
 
Tel:

≅Hotel/Guest House ≅Apartment/Condo ≅Private Home
PREVIOUS VISITS
≅None
≅One
≅Two or more


PLEASE PRINT CLEARLY


Name
Citizenship
Date of Birth:
(Day/Month/Year)



BACK

For official use only


Immigration Officer Case Notes:

Secondary:

Immigration law (2001 revision) regulation 14(5) immigration regulations (2001 revision).
This document constitutes the lawful holder's authority to remain in the Cayman Islands.

Flight #

The holder shall:
(A) Retain it until his/her departure from the islands.
(B) Produce it to a Constable of Immigration Officer if called upon to do so.
(C) Surrender it to an Immigration Officer at the time of his/her departure.
For immigration enquiries please go to the Immigration Department on Elgin Avenue, George Town or log on to www.gov.ky