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Clearance To Fly: Kypros Sofocleous ID/Passport: 966432

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0% found this document useful (0 votes)
24 views2 pages

Clearance To Fly: Kypros Sofocleous ID/Passport: 966432

Jj
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CLEARANCE TO FLY

This certifies the passenger named below is clear to fly to Cyprus.

KYPROS SOFOCLEOUS
ID/Passport: 966432
COVID test on arrival

Evidence of COVID test available

Country Category:
Red Category

Flight Number: Flight Type:


VY6216 Direct Flight to the Republic of Cyprus

Date: Departing Country:


21-08-2021 13:30 Spain

CyprusFlightPass: CFP2043871

Passenger has not travelled abroad in the last 14 days

Personal Information
Name: Middle Initial: Year of Birth:
KYPROS SOFOCLEOUS 1993

ID/Passport: Nationality Country: Country of Birth:


966432 CYPRUS, REPUBLIC OF CYPRUS, REPUBLIC OF

COVID-19 Test: Test Date: Test Type:


Yes 20-08-2021 13:50 RT-PCR

Is Negative: Yes

Flight Information
Airline Name: Flight Number: Seat Number:
VUELING AIRLINES VY6216

Country of Departure: Departure Date & Time Departure date from Cyprus:
SPAIN (Country of Origin):
21-08-2021 13:30

Contact Details
Mobile: Other Phone: Email:
0035799419600 [email protected]

Permanent Address
Address: Apt Number: City:
27 EVAGOROU NICOSIA

State: Postal code: Country:


1066 CYPRUS, REPUBLIC OF

Temporary Address
Address: Apt Number: City:
27 EVAGOROU NICOSIA

State: Postal code: Hotel:


1066

Emergency Contact
Name: Country/State:
ANTZELIKA GYULBYAKOVA CYPRUS, REPUBLIC OF/NICOSIA

Mobile: Other Phone: Email:


0035799484150

Solemn Declarations
YES I am fully aware of the risks, dangers and hazards connected to my flight and stay in the Republic of Cyprus, due to
the COVID-19 pandemic. I assume and accept full responsibility for any risks of loss, harm, property damage or personal
injury or death and I agree not to make claim and take proceedings against any person and/or any kind of businesses
and/or authorized officers and /or the authorities of the Republic of Cyprus from any loss, liability, damages or costs that I
may sustained and/or costs that I may incurred during my travel and stay to the Republic of Cyprus, as a result to COVID-
19 and/or for any inconvenience I and/or they will be suffered, due to any precautionary measures applied during my trip
and my stay in the Republic of Cyprus, for the purposes of protection of public health against COVID-19. This waiver of
Liability, shall be binding to my family members and spouse and my heirs, assigns and personal representative,
executors and successors.
YES Following my return to my country of permanent residence, or to the country to which I return following the
completion of my trip to the Republic of Cyprus, I shall inform the Medical Services of the Republic of Cyprus in the case I
have developed symptoms of COVID-19, within 14 days following my departure from the Republic of Cyprus (e-mail
address for correspondence [email protected]).
YES I have not experienced one of the following symptoms – fever, cough, fatigue, headache, muscle or body aches,
loss of taste or smell, shortness of breath or difficulty breathing, sore throat, congestion or runny nose, within the last 14
days or I have not been in close contact with a COVID-19 confirmed case.
YES I consent for possible COVID-19 sample testing, if requested, upon arrival to the Republic of Cyprus (Persons
allowed to enter in the Republic of Cyprus under the Vienna Convention of 1961 and 1963 are exempted).
YES I declare subject to sanctions under the laws of the Republic of Cyprus that the facts and information I have
provided, are complete, correct and true.
YES I have not stayed/lived in countries with less favourable epidemiological criteria (Grey (Special Permission)
Category) compared to the country of departure, within the past 14 days before my travel to the Republic of Cyprus, as
per relevant country categorization announcement of the Republic of Cyprus.
YES I am aware and accept that I must undergo a second laboratory test and I will personally pay for the cost of this
COVID-19 laboratory test upon my entry into the Republic of Cyprus.

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