TRAVEL CERTIFICATE TO METROPOLITAN FRANCE FROM A NON-EUROPEAN AREA

COUNTRY

(*ALL COUNTRIES EXCLUDING EUROPEAN UNION MEMBER STATES, ANDORRA, ICELAND,

LIECHTENSTEIN, MONACO, NORWAY, SAN MARINO, SWITZERLAND AND VATICAN CITY)

Passengers wishing to travel to metropolitan France shall present this certificate to transport companies before using their
ticket, as well as to the border control authorities. Failure to do so, the passenger shall be denied boarding or access to the
territory. Additionally, the following must be provided:
 A sworn statement of absence of COVID-19 symptoms and absence of contact with a confirmed case of COVID-
19;
 For persons aged 11 years or more, a virology screening test (PCR) carried out less than 72 hours before boarding,
showing no COVID-19 contamination;
 A sworn statement committing to seven-day self-isolation, if necessary, in one of the dedicated facilities designated
by the authorities, and to undergo a virology screening test (PCR) at the end of the isolation period.

To be completed by the passenger:

I, the undersigned,

Mr/Mrs: ...

Born on:

Nationality:

Residing at:

Hereby certify that my reason for travel falls into one of the following categories (tick the appropriate
box):

[ ] Citizens of France, as well as their spouses (married, civil union or cohabiting partners upon presentation of proof of
cohabitation) and children;

[ ] Citizens of the European Union, Andorra, Iceland, Liechtenstein, Monaco, Norway, San Marino, Switzerland and the
Vatican, as well as their spouses (married, civil union or cohabiting partners upon presentation of proof of cohabitation) and
children;

[ ] Citizens of other countries, holders of a valid French or European residence permit or long-stay visa, whose primary
residence is in France or who are in transit through France to their primary residence in a European Union country or its
equivalent;

[ ] Citizens of other countries in transit in the international zone for less than 24 hours;

[ ] Holders of a diplomatic, service or mission passport;

[ ] Foreign citizens working in a diplomatic or consular mission, or an international organisation with headquarters or an
office in France, as well as their spouses and children;

[ ] Foreign citizens from other countries residing in France for compelling professional reasons under a mission order issued
by their country of origin;

[ ] Foreign citizen residing in France at the invitation of French authorities under a cooperation agreement;

[ ] Foreign health professional contributing to the fight against COVID-19 or recruited as an associate trainee;
[ ] Foreign crew or personnel operating passenger and cargo flights, or travelling as passengers to return to their home base;
[ ] Foreign citizen engaged in international transportation of goods;
[ ] Driver or crew member of a coach or passenger train;
[ ] Crew member or operator of a merchant ship, including cruise ships or fishing vessels;
[ ] Students with a long-stay visa (LSV), a short-stay visa (SSV) for studies or work placements (excluding SSVs for
entrance examinations), or visiting for less than 90 days from a country exempt from SSV, or minors in school who can
prove that they have proper accommodation in France;
[ ] Lecturers or researchers employed or invited by a French educational institution or research laboratory who travel for
purposes of study and teaching;
[ ] Citizens of other countries with a "Talent Passport" LSV or a "ICT seconded employee" LSV, as well as their spouse and
children;
[ ] Citizens of other countries travelling to France for treatment in a public or private hospital;
[ ] Foreign citizens travelling to France in other to exercise custody rights recognised by a court decision;
[ ] Citizens of other countries who are international humanitarian workers or volunteers.

Address of self-isolation place:

Done in ................................., on......../......../2021 (signature)

 SWORN STATEMENT TO ABIDE BY THE RULES FOR ENTRY INTO
METROPOLITAN NATIONAL TERRITORY

Passengers wishing to travel to metropolitan France shall present this statement to transport companies before using their
ticket, as well as to the border control authorities.

I, the undersigned,

Mr/Mrs: ...

Born on:

At:

Residing at:

Hereby declare on my honour that during the last 48 hours I have not had any of the following symptoms:

- Fever or chills;

- Cough or aggravation of my usual cough;

- Unusual fatigue;

- Unusual shortness of breath when I speak or make the slightest effort;

- muscle pain and/or unusual aches and pains;

- Unexpected headaches;

- Loss of taste or smell;

- Unusual diarrhoea.

Hereby declare on my honour that I have no knowledge of having been in contact with a confirmed case of COVID-19;

Hereby pledge on my honour to:

 Undergo an antigenic test or any screening upon arrival;

 Self-isolate for seven days, if necessary, in one of the facilities designated by the authorities, where the exemption
from screening so provides;
 Undergo a virology screening test upon completion of the seven-day isolation period.
Done in:

On: at h

Signature: