Owner or Operator:
Marks of Nationality and Registration:
Departure from:
PLACE | TOTAL NUMBER OF CREW ( |
NUMBER OF PASSENGERS ON THIS STAGE ( |
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Departure Place:
(техническую) посадку на территории Российской Федерации разгрузке (выгрузке) или погрузке в места посадки. |
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Embarking |
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Through on same fight | |||
Arrival Place:
(техническую) посадку на территории Российской Федерации разгрузке (выгрузке) или погрузке в места посадки. |
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Disembarking |
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Through on same fight | |||
Additional information | |||
Fuel |
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Oil |
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Meals |
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The remedies which structure contains narcotic, drastic remedies, psychotropic and poisonous substances. Air waybill № |
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Weapon and ammunition. Air waybill №
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DECLARATION OF HEALTH Name and seat number or function of persons on board with illnesses other than airsickness or the effects of accidents, who may be suffering from a communicable disease (a fever - temperature 38'C/ 100'F or greater - associated with one or more of the following signs or symptoms, e.g. appearing obviously unwell; persistent coughing;impaired breathing; persistent diarrhea; persistent vomiting; skin rash; bruising or bleeding wuthout previous injury; or confusion of recent onset, increases the likelihood that the person is suffering a communicable disease) as well as such cases of illness disembarked during a previous stop) |
FOR OFFICIAL USE ONLY |
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Details of each disinsection or sanitary treatment (place, date, time, method) during the flight. If no disinsection has been carried out during the flight, give details of most recent disinsection Signed, if required, with time and date |
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I declare that all statements and particulars contained in this General Declaration, and in any supplementary forms required to be presented with this General Declaration are complete, exact and true to the best of my knowledge and that through passengers will continue/have continued on the flight. Signature
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Запасные части и оборудование на борту:
Наименование агрегата | Партийный номер агрегата | Серийный номер агрегата |
Информация о грузе:
Информация о почте:
Количество грузовых мест:
Вес товара в кг, брутто:
Количество мест:
Вес в кг: