TRAVEL DECLARATION FORM jig 775 AA8 > Due to travel restrictions imposed by the country you are travelling to, you are required to complete this form and submit to the check in staff. FAFA BTEAT BRIT IIR, Buna set seth eI EI EA ° > Passengers who do not submit a completed form will be denied from check in. 3 BREA ABER. Full Namie (As perpassport) * “Scoot Booking Number. RRR) BRUIT REARS. Flight No: and Date of Departure’: HS / B18 By signing below, | am AACE BA, > Acknowledging that | may be subjected to quarantine measures imposed by the respective governing authorities upon arrival. A ADA ABS eT SOB THAR EH. > Acknowledging that | am answering the following questions truthfully. A.A RAL RASA AA, a) Do you have Fever (37.5°C or higher), Cough, Runny nose, | C1 NO # LIYES Anosmia (i.e. loss of sense of smell), Sore throat or Shortness of breath? BRBARR (WB 375°CWL) OK, RAK RAR BS, RUE, SM Ae SER? b) Are you diagnosed or suspected to have COVID-19 infection | INO@ Lives & in the last 21 days? PEUAA, CGLAARCMEA/AVSAMLERB 3§ COVID-19? ¢) Did you have close contact with any case of COVID-19 in the | INO @ Clves & last 14 days? CUE 14 KALHSRARCMS AMD ERRS COviD-19 AVA? d) Will you be transiting in any country before arriving at your | CINO® L1Yes & intended destination? f yes, please indicate your intended | Intended Destination destination. iAGEAS TARR? se, TTLeRAY | RSE AH: RAAKHWERTAR? oe Effective Date: 05 May 2021 #2/88 Form Number: TR-TDF-SCOS