CLEARANCE TO FLY

This certifies the passenger named below is clear to fly to Cyprus.

GELAKIS PARASKEVOPOULOS
Passport: AP4416765

VACCINATED PASSENGER
Vaccination Country:
RUSSIAN FEDERATION,
Type: Sputnik V (Gam-COVID-Vac)
Last dose: 19-02-2022 (No: 2)

Flight Number: Date:

FR5083 16-03-2022 21:15

Final Flight to the Republic of Cyprus: CyprusFlightPass:

Greece CFP3962505

Personal Information
Name: Middle Initial:
GELAKIS PARASKEVOPOULOS

Year of Birth: Passport:

1984 AP4416765

Nationality Country: Country of Birth:

GREECE GEORGIA

Flight Information
Airline Name: Flight Number: Seat Number:
RYANAIR LTD FR5083

Country of Departure: Departure Date & Time (Country of Origin):

GREECE 16-03-2022 21:15

Vaccination Details
Vaccine Type: Vaccination Country:
Sputnik V (Gam-COVID-Vac) RUSSIAN FEDERATION

Date of last vaccination dose: Total number of administered vaccine Is booster dose:
19-02-2022 doses: NO
2
Contact Details
Mobile: Other Phone: Email:
0035799125652 gate7249@gmail.com

Emergency Contact
Name: Country/State:
ELSA ELSA CYPRUS, REPUBLIC OF/PAFOS

Mobile: Other Phone: Email:

0035799384679

Solemn Declarations
YES I am fully aware of the risks, dangers and hazards connected to my flight and stay in the Republic of Cyprus, due to
the COVID-19 pandemic. I assume and accept full responsibility for any risks of loss, harm, property damage or personal
injury or death and I agree not to make claim and take proceedings against any person and/or any kind of businesses
and/or authorized officers and /or the authorities of the Republic of Cyprus from any loss, liability, damages or costs that I
may sustained and/or costs that I may incurred during my travel and stay to the Republic of Cyprus, as a result to COVID-
19 and/or for any inconvenience I and/or they will be suffered, due to any precautionary measures applied during my trip
and my stay in the Republic of Cyprus, for the purposes of protection of public health against COVID-19. This waiver of
Liability, shall be binding to my family members and spouse and my heirs, assigns and personal representative,
executors and successors.
YES Following my return to my country of permanent residence, or to the country to which I return following the
completion of my trip to the Republic of Cyprus, I shall inform the Medical Services of the Republic of Cyprus in the case I
have developed symptoms of COVID-19, within 14 days following my departure from the Republic of Cyprus (via the
CyprusFlightPass Platform).
YES I declare that, in the event that for emergency reasons, it is deemed necessary immediate additional measures to be
taken regarding the entry of passengers into the Republic of Cyprus, I will fully comply with these measures for the
purposes of my entry into the Republic of Cyprus, by personally paying any costs.
YES I declare that, in the event that I have been found positive for COVID-19, I will not travel to the Republic of Cyprus,
except if, 10 days will have at least passed from the date I was tested positive for COVID-19.
YES I consent for possible COVID-19 sample testing, if requested, upon arrival to the Republic of Cyprus (Persons
allowed to enter in the Republic of Cyprus under the Vienna Convention of 1961 and 1963 are exempted).
YES I declare subject to sanctions under the laws of the Republic of Cyprus that the facts and information I have
provided, are complete, correct and true.