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4i -

4111

ESTADOS UNIDOS MEXICANOS

1

I-4 *.

.._,

FORMA MIGRATORIA MULTIPLE (FMM) mars* in aosow.o.

so UN AA L LPO DR IpT uD OD mO ATEX cT oRA I MIER° E STA FORMA ED E BESE RLAL EMEXICO, NIC / ADEINMcA Lu N IEDRA o EINL DPIEVRID

INTERNE This form must be completed individually by all foreigners entering Mexico, including diplomatic personnel.

I LIVI M IMITINO WOOM.1. In wawa.

REGISTRO DE ENTRADA/ENTRY REGISTRATION Datos como aparecen en el pasaporte/ Persona I information as it appears on passport 1. Nornbre/First name

2. Apellido (s)/Last name

3. Nacionalidad/Nationality

4. Fecha de Nacimiento/Date of birth

5. Sexo/Sex

6. No. Pasaporte/Passport No.



3,,',,.1 - '''''

Ill Nombre/Male

Mujer/Fanale

8. No. de Tarjeta o Forma Migratoria/lmmigration Form

7. Pais de Residencia/Country of Residence

or Card No.

9. Tipo de Viaje/Purpose of top L ....../



❑ ..,..6./

10. Via de internacion/Entering By

.

IIII

11:1 Other

Otro/

Nombre de la Aerolinea o embarcaci6n/

11.



El Mmo/Aimme

.

Airline or vessel name

Madtimo/Maticime

111 Maritimo/Sea

Akreo/Air

111 Terrestre/Land

12. Vuelo o matricula de la aerolinea o

13. Estado y Ciudad de destino en Mexico/

embarcaciOn/Fligh No. or vessel registration

State and City of destination in Mexico

14. Dornicilio en Mexico (Nombre del Hotel, Calle y nUrnero)/Adress in Mexico (hotel name, street and number)

Declaro bajo protesta de dear verdad que toda informaciOn que aqui he proporcionado es correcta y completa, consciente de las consecuencias

legales de declarar con falsedad ante la autoridad /I declare under penalty of perjury that all information I have provided here is correct and complete, and I am aware of the consequences of making false declarations to the authorities.

1111111111111111111111111111111111111111111 0 1.

Fed.,...:

1

3 6 0 5 5 5& 4

d.a/day

11i

rnes/mon.

Firma del extranjero/Signature

anohear

USO OFICIAL



ESTANCIA MAXIMA

ESTANCIA MAXIMA HASTA iSo DIAS

30 DIAS

vNisiranteActiv!dad . a NO d

m

I visitants R.

m

II CAME

visitants Razones

"....i.^.

M REPOSICION

ONICAMENTE PARA EFECTOS ESTAIDISTKOS

El

PTxT No El o

0

Tarjeta Residente Temporal o FMNI o FMI

,

111 T Rata ae,deLisiatna in:rim e .

Tarjeta ta an en de te,F Residente m,N . Permanents, FMa de Inrnigrado

Con Fines de

11111.11W:

410

Adoption

SELLO DE. ENTRADA

ESTADOS UNIDOS MEXICANOS FORMA MIGRATORIA MULTIPLE (FMM)

............,.

ESTA FORMA DERE SER LLENADA DE MANERA INDIVIDUAL POR TODOEXTRANIERO OUE SE INTERNE A MEXICO, INCLUIDO EL PERSONAL DIPLOMATICO/ This form must be completed individually by all foreigners entering Mexico. including diplomatic personnel.

VW

REGISTRO OE SALIDA/OEPARTURE EICISTKATION

Datos como aparecen en el pasaporte/Personal information as it appears on the passport. 1. Nombre/First name



4. Fecha de Nacimiento/Date of birth

5. Sexo/Sex

r :•1 1 :1":'-

{-= 11 I • 7. Tipo de Viaje/Purpose of trip Dit=i

3. Nation lidad/Nationality

2. Apellido (s)/Last name

Derc'l

Mujer/Fernale

0 Air< i

o--/r OtM



8. Via de internacion/Entering By

s

P'at=/

9. Nombre de la Aerolinea o embarcaciOn/Airline or vessel name

6. No. Pasaporte/Passport No. Hombre/Male

I Markimo/Sea I

Aeeo/Air

Teretrc/Land

10. Vuelo o matricula de In aerolinea o embarcaciOn/Flight No. or vessel registration

USO OFICIAL ESTANCIA MAXIMA HASTA 18o DIAS



;tr..idi*

am..

ESTANCIA MAXIMA 3o DIAS ❑

D

ONICAMENTE PARA EFECTOS ESTALIISTICOS °...77..

Fl U

T parjete .r.d:. 11e. ?lent m. e.

0 7==::: .„.

0 REPOSICION

Tarjeta atskIente Teroponl

CAME

o FMNI o FMI

FLU de INMIGRADO AmpIlation de estancia

Temporalidad dies/days

dial/days

5E1_10 DE ENTRACJ.s

11111111111311111111111111111111N11111111111111 C

1

3 6 0 5 5 5 3 4

INSTRUCCIONES DE LLENADO

TODD EXTRANJERO, INCLUIDO EL PERSONAL

DESPUES DE DICHO PLAZO ESTA FORMA NO ACREDITA

DIPLOMATIC°, DEBE LLENAR ESTA FORMA MIGRATORIA

ESTANCIA REGULAR EN MEXICO.

INDIVIDUALMENTE Y PRESENTARLA EN EL PUNTO DE El extranjero que en razOn de su nacionalidad no requiera

INTERNACION.

visa y pretenda realizar en Mexico actividades turisticas u No registrar los campos 11 y 12, cuando su ingreso sea via

otras actividades que no demanden una estancia mayor a 180 dias o una remuneration econOmica, debe Ilenar esta

terrestre.

forma y presentarla a la autoridad migratoria en el punto de El titular de pasaporte no ordinario o visa no ordinaria,

internaciOn. Durante su estancia en Mexico, debe conservar

tarjeta o credencial vigente expedida por el Institute

la porcion del registro de salida en la que conste el sello

Nacional de Migration (INM), debe Ilenar esta forma

migratorio de entrada, ya que es evidencia de su estancia

migratoria para efectos estadisticos. En ninguno de estos

regular en el palsy se in requerira a su salida.

casos, esta forma migratoria acredita una condiciOn de Los datos personales recabados serer, protegidos, incorpora-

estancia.

dos y tratados en los Sistemas de Datos personales del INM,

DirecciOn

El titular de una visa mexicana que le permita obtener una

los cuales estan registrados ante el IFAI. La

credencial o una tarjeta, debe Ilenar esta forma migratoria y

General de Control y VerificaciOn Migratoria, es la responsa-

presentarla en el punto de internaciOn. Dentro de los 30 dias

ble_de custodies los_datos personales que_ obran en este I

siguientes a su ingreso al pals, debe presentar el tramite de

documento y el acceso a los mismos debere tramitarse ante

canje de esta forma migratoria por una tarjeta o credencial

la Unidad de Enlace del INM.

ante la oficina de migraciOn que corresponda a su domicilio.

INSTRUCTIONS

ALL FOREIGNERS, INCLUDING DIPLOMATIC PERSONNEL,

UPON EXPIRY OF THAT DEADLINE, THIS FORM SHALL NO

MUST FILL OUT THIS IMMIGRATION FORM INDIVIDUALLY

LONGER AUTHORIZE YOUR LEGAL PRESENCE IN MEXICO.

AND PRESENT IT AT THE POINT OF ENTRY. Foreigners who by reason of their nationality do not require Fields 11 and 12 are not to be completed for entries by land.

visas and who plan to pursue tourism or other activities in

Holders of special passports, special visas, current cards or

financial remuneration must fill out this immigration form

credentials issued by the National Migration Institute

and present it at the point of entry. During their time in

(INM) must fill out this form for statistical purposes. In

Mexico, they must retain the exit-record portion bearing the

none of those cases shall this immigration form grant any

immigration stamp from the entry point, since it proves their

immigration status.

legal presence in the country and must be surrendered

Mexico not requiring stays longer than 180 days or entail

upon exit. Holders of Mexican visas granting permission to obtain a credential or card must must fill out this immigration form

All personal data collection will be protected by, included in,

and present it at the point of entry. Within 30 days of their

and processed by the INM's personal data systems, which

entry into the country, they must apply to exchange this

are registered with the IFAI. The General Directorate for

immigration form for a card or credential at the immigration

Immigration Control and Verification is responsible for the

office corresponding to their address.

safekeeping of the personal data indicated on this document, and requests for access thereto shall be made to the INM's Liaison Unit.

IMPORTANT

IMPORTANTE Durante su estancia en Mexico, debe conservar esta

forma migratoria y entregarla a su salida del pals.

During your stay in Mexico, you must retain this immigration form and surrender it upon leaving the country.

Si en raz6n de su visa, la autoridad migratoria marca en esta forma migratoria la opcion "Canje", usted debe

If, on account of your visa, the immigration officer

presentarse ante la oficina de migracion que

marks the CANJE ("Exchange") option on this

corresponda a su domicilio dentro de los 30 dias

immigration form, you must report to the immigration

siguientes a su internacion.

office corresponding to your address within 30 days of entering the country.

Si la autoridad migratoria marc6 alguna de las opciones del apartado "Estancia maxima hasta 180 dias", esta

If the immigration officer marks any of the options in

forma migratoria acredita su estancia regular en el pals.

the ESTANCIA MAXIMA

Usted no puede realizar actividades remuneradas si no

("Maximum stay up to 180 days") section, this

cuenta con la condicion de estancia que se lo permita.

HASTA

180 DIAS

immigration form authorizes your legal presence in the country. You may pursue no remunerated activities if you do not have an immigration status under which such activities are permitted.

"Los extranjeros estan obligados a realizar el pago por servicios migratorios, conforme a la Ley Federal

de Derechos vigente". "Foreigners are required to pay the immigration

L SELLO DE SALIDA

service fee, as provided for in the current Federal Fee Law."

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