GENERAL DECLARATION ICAO ANNEX

OUTWARD/INWARD 9

Operator VIETJET AIR Airb

Marks of Nationality and Registration: VN-A810 Flight: VJ883 Date: 15/Jul/2023

Departure from: SGN Arrival at: BOM

FLIGHT ROUTING
("Airport:" Column always to list origin, every en-route)
AIR ID NAME PAX PS PASSPORT PASSPORT BIRTHDAT GEN NTLY NO OF PASSENGERS ON THIS
POR NUMBER EXPIRY E DER STAGE
T DATE
Departure Place:
SGN ROLANDO JR. 0 CP P5291131B 07/07/30 12/02/78 M PHL
BOM PUNSALANG MERCADO
.................
Embarking
DAVID JAMES 0 CP 537010630 21/08/27 08/07/66 M GBR
ALEXANDER WILLSON .................
Through on same flight
FUKUI MASAKI 0 FO TS3550266 27/05/29 10/01/80 M JPN ..................
Arrival Place:

HUYNH THI THANH HA 0 PU B9533666 10/02/25 10/02/82 F VNM ..................

Disembarking

..................
TRAN THUY THU THAO 0 PU C9052721 29/04/30 22/08/88 F VNM Through on same flight

..................
TRAN THI THU VAN 0 FA P00361970 11/08/32 08/10/91 F VNM

TRAN THI THAO LINH 0 FA C0674749 25/06/25 14/04/95 F VNM

LE PHUONG THAO 0 FA C9541922 18/03/31 11/05/93 F VNM

TRINH QUANG DOANH 0 FA C5952859 17/09/28 14/10/91 M VNM

NGUYEN VU THI THANH 0 FA C3175715 12/04/27 02/01/96 F VNM

HANG

PHAN THI THU THAO 0 FA C3051098 20/05/27 10/12/97 F VNM

ANGELENE MAIKEL 0 FA A54581855 13/01/26 03/12/94 F MYS

HUYNH KIM THOA 0 FA B9405325 09/07/24 29/05/94 F VNM

DECLARATION OF
Name and seat number or function of persons on board with illnesses other than airsickness or the FOR OFFICIAL USE
effects of accidents, who may be suffering from a communicable disease (a fever-temperature ONLY
38°C/100°F or greater -associated with one or more of the following signs or symptoms, e.g.
appearing obviously unwell; persistent coughing; impaired breathing; persistent diarrhea;
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 disinfecting or sanitary treatment (place, date, time, method) during the flight.
If no disinsecting 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
presented with this General Declaration are complete exact and true to the best of my
will continue/have continued on the flight.
Signature.............................................
Authorized Agent or Pilot-In-Command
Delete as necessary

REMARK ....................................................
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