TRAVEL

CERTIFICATE
YOUR HEALTH DECLARATION & SCREENING SUMMARY

AXEL-BORIS ZABO
Phone Number : Passport Number : Nationality :
233242436000 20AC99667 Cote DIvoire

Sex : Date of birth :

Male May-07-1988

TRAVEL DETAILS
Flight Number : Country of Departure : Arrival Airport : Date of Arrival :
EK788 Cote DIvoire Kotoka International Airport March-07-2022

Destination in Ghana
Address : Contact Person :
Kempinski Hotel Gold 233242436000

Countries Visited in the last 14 days

HEALTH DETAILS
Symptoms
No symptoms

Sick Person Contact in the last 14 days

No symptoms

Signature :

A5W31G
Date :

March-04-2022

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