GENERAL DECLARATION

(Outward/Inward)
Operator: VIETNAM AIRLINES (SKY TEAM MEMBER)
Marks of Nationality and Registration: VNA864 Flight No: VN 0607 Date: 12Jun2021
Departure from: HO CHI MINH CITY, VIET NAM Arrival at: BANGKOK SUVARNABHUMI INTERNATIONAL APT,
THAILAND
FLIGHT ROUTING & TOTAL NUMBER OF CREW
PLACE RANK NAME STAFF PASSPORT PASSPORT DOB NAT GENDER NUMBER OF
NUMBER NO EXPIRY PASSENGERS ON
THIS STAGE
Operating _________________
SGN CAPT NGUYEN NGHIA DUNG 8 0659 B6559919 11Apr2022 11May1979 VIET NAM M
BKK Departure place
SGN FO HO DINH KHAI 4041 C6213456 23Nov2028 28Sep1978 VIET NAM M SGN
BKK Embarking
SGN P NGUYEN DAC CUONG 15 1293 C9449315 15Apr2031 17Aug1975 VIET NAM M
BKK
Through on
SGN B NGUYEN BACH 2973 C7129888 19Apr2029 11Aug1981 M same flight
BKK
SGN B LE THI THANH THAO 83 5367 C3078339 13Jul2027 30Oct1993 F
BKK
SGN Y NGUYEN THU HIEN 15 1642 B8618151 14Mar2024 05Dec1984 VIET NAM F Arrival place
BKK BKK
Disembarking

Through on
same flight

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 communicable disease ( a fever - temperature
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 diarrhoea; persistent
vomiting; skin rash; bruising or bleeding without previous injury; or confusion of recent onset, increases
the likelihood that the person is suffering a cummunicable disease) as well as such cases of illness
disembarked during a previous stop.

Details of each disinsecting of 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 any supplementary forms requires 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.

Signature: _____________________________________________
Authorised Agent of Pilot-in-command