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Ambasada RP w Islamabadzie

Embassy of the Republic of Poland


Islamabad

DECLARATION OF AWARENESS ON POLIO VACCINATION


REQUIREMENTS

Referring to my and/or my childs visa application


I,..
.. (surname and given
names as in passport)

herewith certify that I have been informed that nationals and residents of
Pakistan need to be vaccinated against poliomyelitis.
I have been informed as well that in case of not having this vaccination
Pakistani authorities and/or airlines may not allow me to leave the country,
according to the Airport Health Department travel restrictions (copy
enclosed).

Read and understood:


Islamabad, .2014

..
(Signature)

Copy is handed out to the applicant

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