Professional Documents
Culture Documents
Brunei E-Health Arrival Declaration Form: Personal Information
Brunei E-Health Arrival Declaration Form: Personal Information
Declaration Form
Personal Information
Samenah
Female
31 Dec 1987
C4058810
51419537
BN40233522
Indonesia
+6738815345
skich293@gmail.com
+6738773190
Travel Information
01 Jun 2022
Indonesia
Indonesia
Employment
Air
SQ148
No 14 Spg 938-85, Kg parit Pengkalan Batu, Jalan Mulaut Limau Manis, Negara Brunei Darussalam
09 Mar 2022
COVID-19 Vaccination Details
Fully Vaccinated
18 Sep 2021
Sinopharm
16 Oct 2021
Sinopharm
22 Jan 2022
Pfizer
COVID-19 Status
30 May 2022
Negative
No