FLIGHT CLEARANCE

FOR
INDONESIAN TERRITORY
Republic of Indonesia Approval Number : SC0059

Penerbangan Pesawat Udara Asing ini telah diizinkan oleh Pemerintah Republik Indonesia:
The following Foreign Aircraft Flight has been approved by the Government of the Republic of Indonesia:

1. Pesawat Udara
Aircraft
a) Operator (Pemilik/Penyewa)
: VIETNAM AIRLINES JSC
Operator (Owner/Charterer)
b) Tipe
: A321-231
Type
c) Tanda Pendaftaran/Negara
: Viet Nam
Registration/Country
d) Nama Panggilan
: VN5631/VN5630
Call Sign
e) Nomor Registrasi
: VN-A325/VN-A329/VN-A332/VN-A390/VN-A392/VN-A614
Registration Number
2. Penerbangan
Flight
a) Rute
: SGN - CGK - SGN
Routes
b) Tanggal masuk ke Indonesia a.1)
Penerbangan Langsung
Date entering Indonesia : 03/03/2022 : SGN - CGK - SGN
Direct Flight
(UTC)
c) Tanggal keluar dari Indonesia a.2)
Pendaratan Teknis di
Date leaving Indonesia : 07/03/2022 : CGK
Technical Landing at
(UTC)
d) Nama Pilot : TRUONG DANH DUNG, a.3) Menginap
Name of Pilot in Command NGUYEN VIET HUNG, Remain Overnight at
PHAM NHU KHUONG DUY,
NGUYEN KIM CHAU,
PHUNG ANH HUY, VU
NGUYEN QUOC, LE NHAT
: CGK
MINH, DOAN DUC THE,
DO HUY ANH, LE HOANG
MINH TRUNG, NGUYEN
PHU THINH, BUI HONG
TAN, HOANG PHUONG,
TRAN THANH HUNG
e) Awak pesawat udara lainnya *1)
: PLUS CREW
Other crew member(s)
f) Penumpang/barang *2)
: CARGO
Passenger(s)/cargo
3. Keterangan
Remarks
: CHARTHER CARGO FLIGHT INBOUND AND OUTBOUND

4. Catatan Teknis : 1. Subject to airport slot availability; 2. Cargo: Inbound SGN-CGK 85 pcs
Technical Note shoes sole = 1.400kg, outbound CGK-SGN = NIL; 3. No uplift local traffic
from : CGK-SGN; 4. Shall leave Indonesian territory on date 07/03/2022.

Note: Berlaku untuk 1 (satu) kali penerbangan PEMOHON

1) and 2) Name(s)/cargo should be written/attached Valid for one flight
Aircraft, crew, passengers and load are subject to the APPLICANT
terms of Chicago Convention and have to comply with the
Indonesian Regulations as for entry clearance,
immigration, customs, and quarantine. Possesion of this
flight clearance does not exempt an operator from PT. GAPURA
compliance with any of the technical operations ruler or
airworthiness requirements of the Directorate General of ANGKASA
Civil Aviation This flight clearance can be withdrawn
without previous notice. Should delay exceed the date as
prescribed in point 2b) and 2c) this fight will be regarded
as cancelled. (Signature and Name)
 DISETUJUI OLEH
APPROVED BY
Kementerian Luar Negeri
Direktorat Konsuler
Ministry of Foreign Affairs
Markas Besar TNI
Sintel Mabes TNI
INDF - Headquarter
Kementerian Perhubungan
Direktorat Angkutan Udara
Ministry of Transportation