You are on page 1of 1

Brunei E-Health Arrival

Declaration Form

Personal Information

KAMARIAH BINTI JUSOH

Female

09 Jan 1986

A54119655

Malaysia

+60136294507

kamariahjusoh214901@gmail.com

Travel Information

10 Aug 2022

Malaysia

Land

WVJ2325

C20, SMPG 29, RPN KG PANDAN A, KUALA BELAIT

COVID-19 Vaccination Details

Fully Vaccinated

You might also like