I’m leaving Suriname | Estoy dejando Suriname

ICF is mandatory for all passengers traveling to and from Suriname.
The ICF form can be completed starting from 3 days prior to arrival in Suriname

El ICF es obligatorio para todos los pasajeros que viajen desde y hacia Surinam.
El formulario ICF puede rellenarse a partir de 3 días antes de la llegada a Surinam.

1Departure Information | Información de Salida

2Passenger | Pasajero(a)

3Destination | Destino

4Emergency Contact Person | Contacto en caso de Emergencia

5Signature | Firma

Port of Departure | Puerto de salida

• Albina
• Eduard Alexander Gummels Airport (EAG)
• Johan Adolf Pengel International Airport (PBM)
• Jules Sedney Haven
• Nickerie South Drain (ICK)
• Zorg en Hoop Airport (ORG)

Flight number | Número de vuelo *Select | SeleccionarAAL 2867BW 383BW 384BW 883BW 884BWA 883CM 230CM 318CM 3198 W6258 W6268 W6358 W6408 W7168 W7268 W7298 W7308 W7318 W7368 W740KL 713KL 714PY 321PY 331PY 332PY 331PY 332PY 481PY 482PY 631PY 632PY 993PY 994PY 9913PY 9914PY 9915PY 9916TGY 5191TGY 5201G 37472G 37473GUM 41GUM 42GUM 51GUM 52PrivateCharter

Small Flight Number | Número de vuelo pequeño *Select | SeleccionarGUM 41GUM 42GUM 51GUM 52PrivateCharter

Enter Flight Number | Introduzca el número de vuelo *

Airline / Vessel | Aerolínea / Buque

Albina Vessel | Buque *Select | SeleccionarLa GabrielleLe MalaniOther | Otro

Nickerie South Drain Vessel | Buque *Select | SeleccionarCanawaimaOther | Otro

Vessel Name | Nombre del buque *

Position in Vehicle | Posición en el vehículo *

• Driver | Conductor
• Passenger | Pasajero

License Plate Number | Número de matrícula *

Purpose of the Trip | Objetivo del viaje *

• Tourism | Turismo
• Vacation | Vacaciones
• Business | Viaje de negocios
• Visiting family/friends | Visita a familiares/amigos
• Honeymoon/Wedding | Luna de miel/Boda
• Study | Estudio
• Government Trip | Viaje oficial
• Transit | Tránsito
• I’m going home | Voy a casa
• Sport | Deporte
• Medical | Médico
• Funeral | Funeraria

Next | Próximo

Nationality | Nacionalidad *Select | SeleccionarAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsRefugee | RefugiadoStateless person | Persona apátrida

Departure Date | Fecha de salida *

Starting from 3 days prior to Departure | A partir de 3 días antes de la salida

Return Date | Fecha de devolución

Last Name | Apellido *

First Names | Nombres *

Maiden Name | Apellido de soltera

Passport Number | Número de pasaporte *

Passenger E-mail | Correo electrónico del pasajero *

Create a password (for future ICF login) | Crear una contraseña (para futuros inicios de sesión en el ICF)

Password

Confirm Password

Mobile Number | Número de móvil *

Second Mobile Number | Número de móvil

Date of Birth | Fecha de nacimiento *

Country of birth | País de nacimiento *Select | SeleccionarAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsRefugee | RefugiadoStateless person | Persona apátrida

Sex | Sexo *

• Male | Hombre
• Female | Mujer
• Gender Neutral | Género Neutro

For immigration verification, make a selfie now. Do not upload your Passport or ID Card | Para la verificación de inmigración, hágase un selfie ahora. No cargue su pasaporte o documento de identidad *

Click or drag a file to this area to upload.

Ensure that both ears are visible, and refrain from using filters.

Asegúrese de que ambos oídos estén visibles, y absténgase de utilizar filtros.

Previous | AnteriorNext | Próximo

Final Destination Country | Destino final País *Select | SeleccionarAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands

Accommodation Type | Tipo de alojamiento *Select | SeleccionarHotelApartment / Airbnb | Apartamento / AirbnbPrivate Home | Casa Privada

Intended Address of Stay | Dirección de estancia prevista

Address Line 1 | Dirección Línea 1 *

Hotel / Accomodation Name | Hotel / Nombre del alojamiento *

Address Line 2 | Dirección Línea 2

Final Destination City / State | Ciudad / Estado de destino final *

Zip / Postal Code | Código Postal

Previous | AnteriorNext | Próximo

Who can we reach abroad in case of an emergency? | ¿Con quién podemos contactar en el extranjero en caso de emergencia? *

First

Last

Mobile Number | Número de móvil *

Mobile number of the contact person | Número de móvil de la persona de contacto

Relation | Relación *Friend | AmigoFamily | FamiliaOrganization | OrganizaciónPartner | SocioBusiness Partner | Socio comercialOther | Otro

Relationship with the contact person | Relación con la persona de contacto

Previous | AnteriorNext | Próximo

Spouse and children under 18 years old traveling with you | Cónyuge e hijos menores de 18 años que viajen con usted

Record the name (names), date(s) of birth, and relationship(s) of each person. A separate form must be completed for each passenger. | Anote el (los) nombre(s), fecha(s) de nacimiento y parentesco(s) de cada persona. Debe rellenarse un formulario distinto para cada pasajero.

I am (we are) in possession of currency or monetary instruments of more than USD 10,000 or its equivalent | Estoy (estamos) en posesión de divisas o instrumentos monetarios de más de 10.000 USD o su equivalente *

• Yes | Sí
• No

I DECLARE | I DECLARAR

By submitting this form all statements I have made in this declaration are true, correct and complete.
I understand that failure to make a full declaration is an offense and can result in seizure of the goods, fines and/or imprisonment.

Al enviar este formulario, todas las afirmaciones que he hecho en esta declaración son verdaderas, correctas y completas.
Entiendo que no hacer una declaración completa es un delito y puede resultar en la incautación de los bienes, multas y / o prisión.

I declare that the form has been completed by : | Declaro que el formulario ha sido cumplimentado por : *

• Myself | Yo mismo
• Other | Otro

Filled In By | Rellenado por *

First

Last

Submitter phone number | Número de teléfono del remitente *

Fill in the phone number of the person who filled this form in | Rellene el número de teléfono de la persona que rellenó este formulario

Traveler's Signature | Firma del Viajero *

Clear Signature

Place here your autograph using your vinger, mouse or touch pen. |
Coloque aquí su autógrafo utilizando su vinger, ratón o bolígrafo táctil.

Previous | Anterior

Submit | Enviar