Each person or responsible family member traveling is required to complete this form and if they are travelling with cash or negotiable instruments, or precious metals or precious stones, of a value equivalent to BS $10,000.00 or more is required to read the notes on the reverse before completing all items in this form. You are required to declare imports and exports –
a) of cash and negotiable instruments, of value equivalent to ten thousand dollars BS ($10,000.00) or more;
b) of loose or uncut precious stones or jewelry with intention to trade of a value equivalent to ten thousand dollars or more
c) precious metals in bullion. “Cash” includes coins and bank notes in any currency. “Negotiable Instruments” includes monetary instruments such as cheques, traveler’s cheques, promissory notes and money orders and instruments in bearer form.
Any person who makes an oral or written declaration that is false or incorrect, commits an offense and is liable upon conviction to a fine not exceeding ten thousand dollars BS ($10,000.00), or imprisonment for a term not exceeding three (3) years or both such fine and imprisonment, and the goods in receipt of which the offence is committed is subject to forfeiture.