Republic of Kiribati Immigration Departure Form

Immigration Departure Declaration

Complete this form before leaving Kiribati. No prior arrival record is required.

Traveller Details

Family / Surname *

Given Name(s) *

Passport Number *

Nationality (as shown on passport) *

Date of Birth *

Sex *

Male Female

Your Usual Occupation (optional)

Flight No. or Name of Vessel *

Departure Date *

Final Destination *

Purpose of Trip *

Are you taking out more than AUD$5,000.00 or foreign currency equivalent from Kiribati? *

Yes No

I declare that the information provided in this form is true, correct, and complete. Giving false or misleading information is a criminal offence.