c BB PASSENGER INFORMATION FORM ‘NAME/LAST NAME PHONE NUMBER PHONE NUMBER OF THE PERSON WHO CAN BE REACHED TO, CONTACT WITH YOU FLIGHT NUMBER | SEAT NUMBER DATE ADDRESS IN TURKEY OR DESTINATION [you have one or more ofthe symptoms below, please tick them. CLHigh Fever C.Cough 0 Sore throat ©) Shortness of breath ‘The countries you have been inthe last 14 days ‘lave you had close contact with patient who was suspected with COVID-192 Ys No Unknown Signature {information provided on the form is incorrect, logal remedies will be ten against the person who filed out the form YOLCUBILGI FORMU AD SOYAD "TCNO/PASAPORT NO ‘TELEFONNO ‘SIZE ULASILADILECEK KISI TELEFON NO UCUSNO KOLTUKNO Tani ‘TURKIYE'DE BULUNACAGI ADRES/GIDECEG! OLKE, Asoipda yazan belirtlerden bie veya birkags side vars litfenigaretleyiniz DD Ates Di Ohare C) Bogs Agri: CI Nefes Darl Son 14 gin iinde bulundugunuzilkeler ‘COVID-19 spe ie inclenen bir hasta le yakan temasta bulundunua mu? Deve Haye 0 Bilinmiyor Beyan etigim ler dou oluptarafima a Bey arth a fue! 2020 ema Not: Formda verlenbilgilerin yanks oldujunun anlagimas: duramunds, formu doldaran hakkanda yasal yollars basvurulacakti.