GENERAL DECLARATION GENERAL DECLARATION

effects of accidents as well as those cases of illness disembarking during the ... Persons on board known to be suffering from illness other than airsikness or the.
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GENERAL DECLARATION Immat. : Owner: DATE:

Type : AEROCLUB AVIATION CIVILE DE GUADELOUPE From: To :

CAPTAIN :

GENERAL DECLARATION Immat. : Owner: DATE:

Type : AEROCLUB AVIATION CIVILE DE GUADELOUPE From: To :

CAPTAIN :

CREW:

CREW:

PASSENGER:

PASSENGER:

PASSENGER:

PASSENGER:

PASSENGER:

PASSENGER:

CARGO:

CARGO:

DECLARATION OF HEALTH:

DECLARATION OF HEALTH:

Persons on board known to be suffering from illness other than airsikness or the effects of accidents as well as those cases of illness disembarking during the flight. Any other condition on board witch may lead to spread of disease. Detail of each disinsecting or sanitary treatment during the flight. If no disinsecting has been carried out during the flight give details of most recent disinsected:

Persons on board known to be suffering from illness other than airsikness or the effects of accidents as well as those cases of illness disembarking during the flight. Any other condition on board witch may lead to spread of disease. Detail of each disinsecting or sanitary treatment during the flight. If no disinsecting has been carried out during the flight give details of most recent disinsected:

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 all passengers throught have continued on the flight.

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 all passengers throught have continued on the flight.

Signature:

Signature: