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Sample Cayman Islands – Disembarkation Card

Sample – PDF Version


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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)

Visitors Insurance

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For visitors, travel, student and other international travel medical insurance.

Visit insubuy.com or call 1 (866) INSUBUY or +1 (972) 985-4400

Visitors Insurance Overview

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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

For visitors, travel, student and other international travel medical insurance.

Visit insubuy.com or call +1 (866) INSUBUY or +1 (972) 985-4400