REVOLUTIONARY GOVERNMENT OF ZANZIBAR

MINISTRY OF HEALTH, SOCIAL WELFARE, ELDERLY, GENDER AND CHILDREN

COVID-19
FIT TO FLY CERTIFICATE
Personal Information: Test Information:
Name: Test Date:
Wan Yusof Wan hamat 08 July 2021
Date of Birth: Test Time:
17 August 1948 14:07:35
Gender: Lab ID Number:
Male ZM/J-1735
Nationality: Certificate Date:
Malaysian 08 July 2021
Passport Number: Certificate Number:
A50343966 ZCC202107064632

COVID-19 TEST RESULT

NEGATIVE
The sample has been tested by RT-PCR TEST FOR COVID-19 for the presence of SARS-CoV-2 at
Pathology Laboratory Mnazi Mmoja Hospital
Furthermore, the above-mentioned person shows no signs or symptoms of COVID infection.

I declare under penalty of forgery that the foregoing is true and correct.

........................
Name:
DR. HUSSEIN A. HAJI
08 JUL 2021
Designation:
PHEOC MANAGER

Point of Entry Verification Stamp

This certifiate is valid for 94 hours after issuing, however it does not guarantee future
infection,the bearer should observe all COVID-19 infection prevention and control measures.

This certificate is issued in accordance with the provision of Zanzibar Public Health Act 2012, for prevention of infection diseases