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General Declaration Agriculture, Customs, Immigration & Public Health

This document is a general declaration for agriculture, customs, immigration, and public health regarding inbound and outbound flights. It collects information on the owner or operator of the flight, nationality and registration of the aircraft, departure and arrival locations, crew member names and passport information, passenger names and passport/DOB/nationality information, and any health conditions or need for disinsecting/sanitation. The authorized agent or pilot signs to declare all information provided is complete and accurate.

Uploaded by

Thomas Jimenez
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© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
82 views

General Declaration Agriculture, Customs, Immigration & Public Health

This document is a general declaration for agriculture, customs, immigration, and public health regarding inbound and outbound flights. It collects information on the owner or operator of the flight, nationality and registration of the aircraft, departure and arrival locations, crew member names and passport information, passenger names and passport/DOB/nationality information, and any health conditions or need for disinsecting/sanitation. The authorized agent or pilot signs to declare all information provided is complete and accurate.

Uploaded by

Thomas Jimenez
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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GENERAL DECLARATION

AGRICULTURE, CUSTOMS, IMMIGRATION & PUBLIC HEALTH

INBOUND / OUTBOUND

Owner or Operator Date:

Nationality and Registration Route of Flight

Departure from Arrival at

Crew Name Passport number DOB Nationality

Passenger Name Passport number DOB Nationality

Declaration of Health For official use only


Persons on board known to be suffering from ilness other than airsickness

effects of accidents, as well as those cases of illness disemarked during the flight.

None

Any other condition on board which may lead to the spread of disease

None

Detail of each disinsecting or sanitary treatment (Place, Date, Time, Method) during the flight
If no disinsecting has been carried out during the flight give details of most recent disinsecting:
None Signature Authorized Agent or Pilot-in-Command

Signed, if required
(Crew Member Concerned)
I declare that all statements and particulars contained in this General Declaration, and in any supplementary

forms required to be presented with this General Declaration are complete,exact and true to the best of myknowledge and that allthrough passengers will continue/have continued on the flight

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