Thank you for using the SG Arrival Card!

This SG Arrival Card is only valid for one time use for travel on the
expected date of arrival indicated below. You may choose to download or print a copy of this acknowledgement
and retain it for the duration of your stay.Please note that the SG Arrival Card is not a visa. The use of the SG
Arrival Card e-Service is free of charge.

The unauthorised consumption, possession, import, export and/or trafficking of any controlled drug is an offence
under Singapore's Misuse of Drugs Act. Under the Act, drug trafficking is punishable by death.

Providing false health and travel declarations is an offence under Section 64(b) of Singapore's Infectious Diseases
Act. The penalty for providing false or misleading information is a fine of up to S$10,000 and/or imprisonment of
up to 6 months. For subsequent offence(s), the penalty is a fine up to S$20,000 and/or imprisonment of up to 12
months.You are reminded that it is your responsibility to update and resubmit your declarations prior to your
arrival in Singapore if you had contact with a COVID-19 case, and/or if there is any change in your health status
and/or travel history.

You are required by law to give a report using Form NP 727/A/B/C if the total value of currency and/or bearer
negotiable instruments you are carrying exceeds SGD 20,000 (or equivalent in a foreign currency).

If you are bringing in any item, or carrying an item for someone else, but you do not know what it contains, you
must declare the item at the Red Channel.

You can refer to the ICA website at Entering and Departing Singapore(https://www.ica.gov.sg/enter-depart) for
more information on Singapore's entry requirements and the list of prohibited or controlled items.

Transaction Date: 13/06/2022 09:56 AM (Singapore Time)

Number of travellers: 4

Lead Traveller PHAM THI THU THUY

DE No Full Name (In Passport) Passport Number

Z5815F5316 PHAM THI THU THUY B7605218

Traveller 2 TRUONG VINCENT KINH

DE No Full Name (In Passport) Passport Number

Z5815F5411 TRUONG VINCENT KINH 531205105
Traveller 3 CHUNG BRIAN LUONG

DE No Full Name (In Passport) Passport Number

Z5815F5513 CHUNG BRIAN LUONG 505877490

Traveller 4 TRUONG HUE VAN

DE No Full Name (In Passport) Passport Number

Z5815F5610 TRUONG HUE VAN C1012345
DE No: Z5815F5316 VG

Personal Information
Full Name (In Passport)
PHAM THI THU THUY

Sex Date of Birth

FEMALE 05/07/1969
Place of Residence
VIETNAM, HO CHI MINH CITY, HO CHI MINH CITY

Country/Place of Birth Nationality/Citizenship

VIETNAM VIETNAMESE
Passport Number Date of Passport Expiry
B7605218 28/07/2024
Mobile Number Email Address
+84 912357388 TRANDANGGIAO76@GMAIL.COM

Trip Information and Declaration

Trip Information
Date of Arrival to Singapore
14/06/2022
Mode of Travel
AIR
Mode of Travel (Details) Carrier Name/Flight Number
PRIVATE/CARGO AIRLINE N7777EM
Type of Accommodation in Singapore Accommodation (Others)
OTHERS DAY TRIP
Last City / Port of Embarkation Before Singapore
VIETNAM, HO CHI MINH CITY, HO CHI MINH CITY
Next City / Port of Disembarkation After Singapore
VIETNAM, HO CHI MINH CITY, HO CHI MINH CITY
Date of Departure From Singapore
14/06/2022

Others
Have you ever used a passport under different name to enter Singapore? NO

Name different from current passport

DE No: Z5815F5316 VG

Electronic Health Declaration (Lead Traveller)

Have you visited Africa or Panama or South America (except Chile) in the past 6 NO
days prior to your arrival in Singapore?

Did you start to have any symptoms in the last 7 days: fever, rash, cough, runny NO
nose, sore throat, loss of sense of smell, or shortness of breath?

Have you visited Africa or the Middle East in the past 14 days prior to your NO
arrival in Singapore, AND, any of the following symptoms currently: fever, cough,
shortness of breath, headache, vomiting?

Are you fully vaccinated against COVID-19? VACCINATED.

Remarks PLEASE PRODUCE

COVID-19 VACCINATION
CERTIFICATE FOR
CHECKS BY TRANSPORT
OPERATORS AND/OR
AUTHORITIES.
DE No: Z5815F5411 VG

Personal Information
Full Name (In Passport)
TRUONG VINCENT KINH

Sex Date of Birth

MALE 07/04/1974
Place of Residence
VIETNAM, HO CHI MINH CITY, HO CHI MINH CITY

Country/Place of Birth Nationality/Citizenship

VIETNAM AMERICAN
Passport Number Date of Passport Expiry
531205105 29/11/2025
Mobile Number Email Address
+84 933609068 VINCENT.TRUONG@SUNNYWORLD.GROUP

Trip Information and Declaration

Trip Information
Date of Arrival to Singapore
14/06/2022
Mode of Travel
AIR
Mode of Travel (Details) Carrier Name/Flight Number
PRIVATE/CARGO AIRLINE N7777EM
Type of Accommodation in Singapore Accommodation (Others)
OTHERS DAY TRIP
Last City / Port of Embarkation Before Singapore
VIETNAM, HO CHI MINH CITY, HO CHI MINH CITY
Next City / Port of Disembarkation After Singapore
VIETNAM, HO CHI MINH CITY, HO CHI MINH CITY
Date of Departure From Singapore
14/06/2022

Others
Have you ever used a passport under different name to enter Singapore? NO

Name different from current passport

DE No: Z5815F5411 VG

Electronic Health Declaration (Traveller 2)

Have you visited Africa or Panama or South America (except Chile) in the past 6 NO
days prior to your arrival in Singapore?

Did you start to have any symptoms in the last 7 days: fever, rash, cough, runny NO
nose, sore throat, loss of sense of smell, or shortness of breath?

Have you visited Africa or the Middle East in the past 14 days prior to your NO
arrival in Singapore, AND, any of the following symptoms currently: fever, cough,
shortness of breath, headache, vomiting?

Are you fully vaccinated against COVID-19? VACCINATED.

Remarks PLEASE PRODUCE

COVID-19 VACCINATION
CERTIFICATE FOR
CHECKS BY TRANSPORT
OPERATORS AND/OR
AUTHORITIES.
DE No: Z5815F5513 VG

Personal Information
Full Name (In Passport)
CHUNG BRIAN LUONG

Sex Date of Birth

MALE 15/05/1978
Place of Residence
VIETNAM, HO CHI MINH CITY, HO CHI MINH CITY

Country/Place of Birth Nationality/Citizenship

VIETNAM AMERICAN
Passport Number Date of Passport Expiry
505877490 08/10/2024
Mobile Number Email Address
+84 907197644 LUONG.CHUNG28@GMAIL.COM

Trip Information and Declaration

Trip Information
Date of Arrival to Singapore
14/06/2022
Mode of Travel
AIR
Mode of Travel (Details) Carrier Name/Flight Number
PRIVATE/CARGO AIRLINE N7777EM
Type of Accommodation in Singapore Accommodation (Others)
OTHERS DAY TRIP
Last City / Port of Embarkation Before Singapore
VIETNAM, HO CHI MINH CITY, HO CHI MINH CITY
Next City / Port of Disembarkation After Singapore
VIETNAM, HO CHI MINH CITY, HO CHI MINH CITY
Date of Departure From Singapore
14/06/2022

Others
Have you ever used a passport under different name to enter Singapore? NO

Name different from current passport

DE No: Z5815F5513 VG

Electronic Health Declaration (Traveller 3)

Have you visited Africa or Panama or South America (except Chile) in the past 6 NO
days prior to your arrival in Singapore?

Did you start to have any symptoms in the last 7 days: fever, rash, cough, runny NO
nose, sore throat, loss of sense of smell, or shortness of breath?

Have you visited Africa or the Middle East in the past 14 days prior to your NO
arrival in Singapore, AND, any of the following symptoms currently: fever, cough,
shortness of breath, headache, vomiting?

Are you fully vaccinated against COVID-19? VACCINATED.

Remarks PLEASE PRODUCE

COVID-19 VACCINATION
CERTIFICATE FOR
CHECKS BY TRANSPORT
OPERATORS AND/OR
AUTHORITIES.
DE No: Z5815F5610 VG

Personal Information
Full Name (In Passport)
TRUONG HUE VAN

Sex Date of Birth

FEMALE 21/03/1988
Place of Residence
VIETNAM, HO CHI MINH CITY, HO CHI MINH CITY

Country/Place of Birth Nationality/Citizenship

VIETNAM VIETNAMESE
Passport Number Date of Passport Expiry
C1012345 12/01/2026
Mobile Number Email Address
+84 908282888 LAMTHITHANHTAM@GMAIL.COM

Trip Information and Declaration

Trip Information
Date of Arrival to Singapore
14/06/2022
Mode of Travel
AIR
Mode of Travel (Details) Carrier Name/Flight Number
PRIVATE/CARGO AIRLINE N7777EM
Type of Accommodation in Singapore Accommodation (Others)
OTHERS DAY TRIP
Last City / Port of Embarkation Before Singapore
VIETNAM, HO CHI MINH CITY, HO CHI MINH CITY
Next City / Port of Disembarkation After Singapore
VIETNAM, HO CHI MINH CITY, HO CHI MINH CITY
Date of Departure From Singapore
14/06/2022

Others
Have you ever used a passport under different name to enter Singapore? NO

Name different from current passport

DE No: Z5815F5610 VG

Electronic Health Declaration (Traveller 4)

Have you visited Africa or Panama or South America (except Chile) in the past 6 NO
days prior to your arrival in Singapore?

Did you start to have any symptoms in the last 7 days: fever, rash, cough, runny NO
nose, sore throat, loss of sense of smell, or shortness of breath?

Have you visited Africa or the Middle East in the past 14 days prior to your NO
arrival in Singapore, AND, any of the following symptoms currently: fever, cough,
shortness of breath, headache, vomiting?

Are you fully vaccinated against COVID-19? VACCINATED.

Remarks PLEASE PRODUCE

COVID-19 VACCINATION
CERTIFICATE FOR
CHECKS BY TRANSPORT
OPERATORS AND/OR
AUTHORITIES.