GENERAL DECLARATION REFERENCE NO:

I.C.A.O ANNEX 9 APPENDIX 1

AMM1441GD
(OUTWARD/INWARD)

OWNER OR OPERATOR: SAUDIA

MARKS OF NATIONALITY AND REGISTRATION: HZAS68 FLIGHT: SV0638 DATE: 22MAY2024
DEPARTURE FROM: AMM - JORDAN ARRIVAL AT: RUH - SAUDI ARABIA

RANK STATUS CREW ID CREW NAME SEX DATE OF NATIONALITY PASSPORT NO PASSPORT
BIRTH EXPIRY

CA FLY 11014259 ALGHAFLI AHMAD M 17JUL1993 SA Y417668 28JAN2030

CA FLY 11018078 ALGHAMDI FARIS M 26OCT1994 SA Y324594 12AUG2025
BILAL ALWAGIH ABDULRAHMAN MOHAMMED
GD FLY 11020657 M 29JUL1991 SA V805109 24FEB2028
HELAL
SNF FLY 11015715 GUINTO JESILEEN CLAUDINE F 08OCT1992 PH P0841247B 27FEB2029
PC FLY 11010165 LIMENE LOUBNA F 14SEP1987 MA RY6595636 25JUN2026
YC FLY 30001277 ALHARBI FARIS M 31DEC1996 SA AN85344 20JUL2028
YC FLY 30001555 SAAB AMER M 05MAR1999 SA AF04451 14FEB2028

DECLARATION OF HEALTH FOR OFFICIAL USE ONLY

NAME AND SEAT NUMBER OR FUNCTION OF PERSONS ON BOARD WITH ILLNESSES OTHER THAN AIRSICKNESS OR
THE EFFECTS OF ACCIDENTS, WHO MAY BE SUFFERING FROM A COMMUNICABLE DISEASE (A FEVER-
TEMPERATURE 38C/100F OR GREATER-ASSOCIATED WITH ONE OR MORE OF THE FOLLOWING SIGNS OR
SYMPTOMS, E.G. APPEARING OBVIOUSLY UNWELL: PERSISTENT COUGHING: IMPAIRED BREATHING: PERSISTENT
DIARRHOEA: PERSISTENT VOMITING: SKINS 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 DISINFECTING OR SANITARY TREATMENT (PLACE, DATE, TIME, METHOD) DURING THE FLIGHT. IF
NO DISINFECTING HAS BEEN CARRIED OUT DURING THE FLIGHT GIVE DETAILS OF MOST RECENT DISINFECTING

SIGNED IF REQUIRED: (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.

BY 11024055 @22MAY2024 15:30 UTC SIGNATURE

AUTHORIZED AGENT OR PILOT-IN-COMMAND