Passenger health declaration form
[DOCX File]International Maritime Organization
https://info.5y1.org/passenger-health-declaration-form_1_73fd09.html
CREW'S EFFECTS DECLARATION (IMO FAL Form 4) Page Number. 1.1Name of ship. 1.2IMO number. 1.3Call sign. 1.4Voyage number. 2. Flag State of ship. 3. No. 4. Family name. 5. Given names. 6. Rank or rating. 7. Effects ineligible for relief from customs duties and taxes or subject to prohibitions or restrictions. 8. Signature
c.ekstatic.net
TRAVELLER SURVEILLANCE FORM (NOVEL CORONAVIRUS) ... Have you experienced the following health conditions during the last 7 days (1 week)? Yes. No. Yes. No. Fever. Joint/Muscle pain. Sore throat. Diarrhea. ... Put Under surveillance (fill passenger locater card) Put under isolation/Quarantine.
[DOCX File]EVA Air
https://info.5y1.org/passenger-health-declaration-form_1_30ad09.html
A declaration for a child under 12 years old shall be submitted by his/her guardian. To protect the safety and health of all passengers and crew members onboard the flight, EVA/UNI Airways may refuse to carry you according to Article 7.1.2 of the Conditions of Carriage if you fail to provide this Declaration. 1. 姓名. Full name: 2. 護照 ...
[DOCX File]ClubSport Event Passenger Declaration
https://info.5y1.org/passenger-health-declaration-form_1_cbb20c.html
In consideration of the acceptance of this declaration and of my being permitted to take passengers in the Meeting or Event detailed above, I agree to indemnify all parties in accordance with the declaration statement made on the Event Entry form.
[DOCX File]COVID-19 Self-Assessment Declaration Form
https://info.5y1.org/passenger-health-declaration-form_1_44083f.html
COVID-19 Self-Assessment Declaration Form. In order to protect the health and safety of guests, residents and staff of . Business name, we require you to complete this declaration in relation to the coronavirus (COVID-19).. The declaration is required by all guests accessing our park and is valid for a maximum period of seven days.
[DOCX File]www.evaair.com
https://info.5y1.org/passenger-health-declaration-form_1_7c3547.html
A declaration for a child under 12 years old shall be submitted by his/her guardian. To protect the safety and health of all passengers and crew members onboard the flight, EVA/UNI Airways may refuse to carry you according to Article 8.1 of the Conditions of Carriage if you fail to provide this Declaration. 1. 姓名. Full name: 2. 護照號碼. P
[DOC File]Generic risk assessment form (Word 159KB)
https://info.5y1.org/passenger-health-declaration-form_1_22ee6a.html
Declaration Managers should monitor and review the application of the specified controls. Prepared by Date Signature (SO or above) Date I certify that all controls are in place which reduce risk to as low as is reasonably practicable, all staff have been informed and safe systems of work have been applied.
[DOC File]protocol.fcdo.gov.uk
https://info.5y1.org/passenger-health-declaration-form_1_a692b4.html
SELF DECLARATION. Failure to complete and submit this form to Protocol Directorate at least two working days prior to the arrival of officials may result in a delay in confirming that an individual is exempt from the requirement to complete the passenger locator form.
[DOCX File]INTERNATIONAL TRAVEL CERTIFICATE TO MAINLAND FRANCE
https://info.5y1.org/passenger-health-declaration-form_1_5c82e0.html
international travel certificate to mainland france . from a country identified as spreading zone for the sars-cov-2* virus (*all countries except european union member states and andorra, iceland, liechtenstein, monaco, norway, san marino, switzerland, united kingdom, holy see, australia, canada, south korea, georgia, japan, new zealand, rwanda, thailand, tunisia, uruguay)
[DOCX File]Health Declaration Form - DUMONT AVIATION GROUP - Home
https://info.5y1.org/passenger-health-declaration-form_1_4d631b.html
Required to be submitted for every passenger on the reservation to. ops@dumontaviation.com. at. least. 24. hours. prior to the scheduled flight departure. time. I, [insert full name], hereby certify, represent and warrant as follows: Within the twenty-one (21) days immediately preceding the date of this Health Declaration Form (“Declaration ...
[DOCX File]Domestic Screening Questionaire
https://info.5y1.org/passenger-health-declaration-form_1_42641a.html
(if multiple destinations please include other addresses on the back of this form) Physical Address/es during stay in South Africa ... If the traveller answers yes to any of the following questions, please notify Port Health authorities immediately. Have you been in contact with a confirmed or suspected case of COVID-19?
[DOCX File]SWORN STATEMENT OF ABSENCE OF COVID-19 SYMPTOMS - Accueil
https://info.5y1.org/passenger-health-declaration-form_1_b92a1b.html
TRAVEL CERTIFICATE TO FRANCE . FROM . THE UNITED KINGDOM. This travel certificate is to be presented to the transport company before use of the travel ticket by travellers intending to travel to France, as well as to border control authorities.
[DOCX File]Oficio .pt
https://info.5y1.org/passenger-health-declaration-form_1_80a472.html
c) When I arrive at the final destination island, I must comply with the procedures provided for in paragraphs a) and b) of paragraph 1 and in paragraph 9 of the Resolution of the Government Council No. 164/2020, of June 15th, in the part regarding the mandatory contact with the health authority, on the 6th day, counted after the initial test was carried out, to perform a new SARS-CoV-2 ...
[DOC File]Maritime Declaration of Health
https://info.5y1.org/passenger-health-declaration-form_1_d7ca17.html
I hereby declare that the particulars and answers to the questions given in this Declaration of Health (including the schedule) are true and correct to the best of my knowledge and belief. Master Ship's Surgeon (if carried) Date Signature Countersigned Attachment of Maritime Declaration of Health
[DOC File]Centers for Disease Control and Prevention
https://info.5y1.org/passenger-health-declaration-form_1_12cce9.html
Person Under Investigation (PUI) and Case Report Form Public reporting burden of this collection of information is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
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