DEPARTMENT OF THE TREASURY United States Customs Service

Port of Entry

Port Code

(9)

(6)

(2)

(4)

(1)

(3)

(7)

WHERE FROM (Port and Country)

Dock

Name, IMO No. or Official No. And Type of Vessel (2),
Name of Operator or Agent

Manifest
No. (1)

Month/Year

(a) First Foreign Port and Country
     Entering Direct From
(b) All Other Foreign Ports and Countries

/

Type of
Cargo
Transaction

See
Footnote (4)

Maximum
Draft

No. of
Passengers
Disembarking

19 CFR 4.95

MM

YY

(MM/YY)

Any data typed after screen scrolls will not print.

(8)

Nationality
of Vessel
(Flag),
Trade (3)
and Net
Tonnage

(5)

DEPARTMENT OF THE TREASURY 
United States Customs Service RECORD OF VESSELS ENGAGED IN FOREIGN TRADE CLEARED OR GRANTED PERMIT TO PROCEED 19 CFR 4.95 Any data typed after screen scrolls will not print. Form Assistant Page 1 of 3

Form Assistant
Page 1 of 3

Go to Form Assistant Page (1-3):

Customs Form 1401 (02/02)

Customs Form 1401 (02/02)

RECORD OF VESSELS ENGAGED IN FOREIGN TRADE    CLEARED OR GRANTED PERMIT TO PROCEED