Scoot Pte Ltd GENERAL DECLARATION ICAO ANNEX 9

APPENDIX 1

(OUTWARD/INWARD)

Operator Scoot Pte Ltd Aircraft 788

Marks of Nationality and Registration 9VOFB Flight TR 469 Date 23/03/24

Departure KUL (KUALA LUMPUR INTL SEPANG) Arrival at SIN (CHANGI AIRPORT)
from

FLIGHT ROUTING
(*Airport:* Column always to list origin, every en-routing stop and destination)
Passport No. Of Passengers
Port ID Name Pax Pos Passport Birth Date G Ntly
Expiry on this stage
KUL 8437 Oh Chian Ming PIC CPT K1190120P 17/06/79 M SGP 13/12/24 Departure Place:
K2295619
SIN 7545 Sofea Binte Mahad FO 04/03/95 F SGP 15/10/31
G
63 Goh Cheng Lei Carrie Ratana CIC K4331105E 02/01/79 F SGP 10/08/33 Embarking:

5343 Wang Lu CL E72924930 26/08/89 F CHN 12/10/26

Through on same
2509 Hidayati Binti Rahmat CC K55301871 10/04/92 F MYS 20/03/27
flight:
4488 Wang Yunbo CC EH7191675 16/12/92 F CHN 06/11/29

5651 Ranielle Mbang Goh CC K54116721 11/05/97 F MYS 27/06/25 Arrival Place:

8126 Jitsuhara Hikaru CC TT2067051 06/03/99 F JPN 01/04/32

8175 Lean Hui Wen CC K2848971P 03/12/85 F SGP 14/06/32 Disembarking:

8854 Purisaphan Takthorung CC AC3470239 20/08/97 F THA 27/06/32

Through on same
flight:

DECLARATION OF HEALTH FOR OFFICIAL USE ONLY

Name and seat number or function of persons on board with illnesses other than airsicknesses or the effects of
accidents, who may be suffering from a communicable disease ( a fever- temperature 38øC/100øF or greater-
associated with one or more or the following signs or symptoms, e.g. appearing obviously unwell;persistent
coughing;persistent vomiting;skin rash; bruising or bleeding without previous injury; or confusion of recent onset,
increases the likelihood that the person is suffering a communicable disease) as well as such cases of illness
disembarked during a previous stop .............................................................................................................................

Details of each disincecting or sanitary treatment(place, date, time, method) during the flight. If no dinsecting has been
carried out during the flight,give details of most recent disinsecting ..................................................................

Signed, if required, with time and date

Crew member concerned

I declare that all statements and particulars contained in this General Declaration and in any supplementary forms required to be presented with
this General Declaration are complete exact and true to the best of my knowledge and that all through passengers will continue/have continued
on the flight.

Signature
Authorized Agent or Pilot-In-Command
Delete as necessary

REMARKS:

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