E-Ticket Application Form

E-Ticket Application

Fields marked with a red asterisk are required (*)

Choose an option*

ARRIVAL TO THE DOMINICAN REPUBLIC DEPARTURE FROM DOMINICAN REPUBLIC

Are you traveling with someone else?*

How many people are with you?*

Nature of the group*

General Information

Fields marked with a red asterisk are required (*)

Permanent Address*

Country of Residence*

City*

State

Postal Code

Migratory Information

Fields marked with a red asterisk are required (*)

First Names*

Last Names*

Date of Birth*

Gender*

Place of Birth*

Is the nationality of the passport different from your place of birth?*

Country of Nationality*

Passport Number*

Confirm Passport Number*

Civil Status*

Occupation*

Email*

Phone Number

Migratory Information

Fields marked with a red asterisk are required (*)

Are you lodging in a private rental or other options?*

ARE YOU LODGING IN A PRIVATE RENTAL? (E.G: AIRBNB) ARE YOU GOING TO STAY AT A HOTEL? FAMILY/FRIENDS OWN HOUSE SHIP/FERRY TRANSIT

City*

Street Number*

Hotel Name*

Harbors*

Country of Destination*

Embarkation Airport*

Disembarkation Airport*

Airline Name*

Flight Number*

Flight Date*

Travel Purpose*

Days of Staying*

Additional Passenger Information

Fields marked with a red asterisk are required (*)

Customs Information

Fields marked with a red asterisk are required (*)

Do you bring or bring with you or in your luggage(s), currency values or another payment instrument, an amount in excess of USD $10,000.00 or its equivalent in another type(s) of currency(s)?*

Amount*

Declare Origin of the Securities*

Are you the owner of the values you carry?*

Sender Name*

Sender Last Name*

Receiver Name*

Receiver Last Name*

Relationship with Sender or Receiver*

Use or Destiny of the Money or Values*

Do you bring with you or in your luggage live animals, plants or food products?*

Do you bring with you or in your baggage goods subject to tax payment?*

NOTE: THE PASSENGER MAY BRING GOODS OR OBJECTS FOR GIFTS FOR A TOTAL VALUE OF UP TO USD $500.00 (FIVE HUNDRED DOLLARS). THIS EASE CAN ONLY BE USED AND APPLIED ONCE EVERY (3) MONTHS.

NOTE: THE PRESENTATION OF THIS DECLARATION IS MANDATORY FOR ALL PASSENGERS WHO LEAVE OR ENTER THE DR. FOR MINORS, THIS FORM MUST BE COMPLETED AND SIGNED BY THE RESPONSIBLE ADULT. THE DECLARATION OF INFORMATION FAULTS OR INCOMPLETES MAY ORIGINATE PENALTIES SUCH AS SEIZURES OF SECURITIES, OF GOODS AND DEPRIVATION OF FREEDOM, ACCORDING TO ARTICLE 200 OF LAW 3489, OF CUSTOMS REGIME, AND ARTICLE 4 OF LAW NO. 155-17 AGAINST WASHING ASSETS. THIS DECLARATION MUST BE SIGNED BY THE PASSENGER WHERE IT IS INDICATED.