ANNEX 9APP 1-124/11/05
APPENDIX 1.GENERAL DECLARATION
GENERAL DECLARATION
(Outward/Inward)
刘纪文
Operator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Marks of Nationality and Registration . . . . . . . . . . . . . . . . . . . . . . . Flight No. . . . . . . . . . . . . . Date . . . . . . . . . . . . . . . . . . . . . . . . . . .Departure from. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Arrival at . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(Place)(Place)
FLIGHT ROUTING
团队寄语(“Place” Column always to list origin, every en-route stop and destination)
PLACE NAMES OF CREW*
NUMBER OF PASSENGERS
悯生剑ON THIS STAGE**
Departure Place:
Embarking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Through on same flight . . . . . . . . . . . . . . . . . . . . . . .
Arrival Place:
Dimbarking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Through on same flight . . . . . . . . . . . . . . . . . . . . . . .Declaration of Health Name and at number or function of persons on board with illness other than
airsickness or the effects of accidents, who may be suffering from a communicable
洒水壶简笔画
dia (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 diarrhoea; persistent vomiting; skin rash;
bruising or bleeding without previous injury; or confusion of recent ont, increas the
likelihood that the person is suffering a communicable dia) as well as such cas of
illness dimbarked during a previous stop . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Details of each disincting or sanitary treatment (place, date, time, method)
during the flight. If no disincting has been carried out during the flight, give details
of most recent disincting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .廉洁谈话个人表态发言>网络明星
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Signed, if required, with time and date ______________________________________
Crew member concerned For official u only
I declare that all statements and particulars contained in this General Declaration, and in any supple非谓语
mentary forms required to be prented with this General Declaration, are complete, exact and true to the best of my knowledge and that all through pasngers will continue/have continued on the flight.梦见被猫咬了是什么意思
SIGNATURE __________________________________________
Authorized Agent or Pilot-in-command
Size of document to be 210 mm × 297 mm (or 8 1/4 × 11 3/4 inches).
* To be completed when required by the State.
** Not to be completed when pasnger manifests are prented and to be completed only when required by the State.
297 m m (o r 11 3/4 i n c h e s )210 mm (or 8 1/4 inches)
15/7/07No. 20
