Mauritius All-in-One Travel Digital Form

Traveller
Passenger Type: Non Citizen
Personal Information
Title: mr Last (Family) Name: First (Given) Name: Middle Initial:
AUMILLER TEERARAT
Sex: female Date Of Birth: Country Of Birth: Passport Issue Country:
1977-12-04 Thailand Thailand
Passport Expiry Date: Passport Number: Proposed Length of Stay Port Of Embarkation:
2024-03-21 AB3527149 in Mauritius (days): 8
Nationalities: THAI Countries visited during last 6 months: France,
South Africa, Austria
Have you experienced any of the following within the past 14 days?
Fever: No Sore Throat: No Joint Pain: No Cough: No
Breathing Difficulties: No Rash: No Loss of Sense of Smell or Taste: No
Possible contact with COVID 19: No
Have you tested positive for Covid-19 in the past 7 days? No
Vaccine
Vaccinated: Yes
First Vaccine: Pfizer First Vaccine Date: Second Vaccine: Pfizer Second Vaccine Date:
Vacine Vacine
Flight Information
Airline: Air Mauritius Flight: MK852 Seat: Date Of Arrival:
2022-08-12
Purpose of Visit: visit_holiday Time Of Arrival: 19:35
Contact Info
Email Address: tubtim-rubis@hotmail.com Mobile Phone: +41765070410
Fixed Phone: Business Phone:
Permanent Address
Number and Street: Apartment Number: City: State/Province:
Country: Switzerland Zip/Postal Code:
Temporary Address
Hotel Name: TROU AUX Number and Street: Apartment Number: Local Phone:
BICHES RESORT & Coastal Rd, Trou Aix +2302046800
SPA BICHES ,
PAMPLEMOUSSES
Quarantine Site: Not Applicable
Contact person in Mauritius
Last (Family) Name: First (Given) Name:
Address: Email: Mobile Phone:
Emergency Contact
Last (Family) Name: First (Given) Name: Address: Country: Switzerland
Aumiller Kumok Milchbuckstrasse 30
Mobile Phone: +41786297039
TEERARAT's Service Identifier: 41991e9c-519a-401f-aaa5-cbddb6f241bd