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TRAVEL

CERTIFICATE
YOUR HEALTH DECLARATION & SCREENING SUMMARY

Ernest Marfo
Phone Number : Passport Number : Nationality :
0558070539 G3517492 Ghana

Sex : Date of birth :


Male June-16-1992

TRAVEL DETAILS
Flight Number : Country of Departure : Arrival Airport : Date of Arrival :
Egyptair MS 881 Qatar Kotoka International Airport January-09-2023

Destination in Ghana
Address : Contact Person :
Tarkwa 0241249288

Countries Visited in the last 14 days


Ghana Ghana Ghana

HEALTH DETAILS
Symptoms
No symptoms

Sick Person Contact in the last 14 days


No symptoms

Signature :

2BM72B
Date :

January-05-2023

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