FORM No. I
General Declaration
[See Regulation 3(1) of the Export Manifest (Aircraft) Regulations, 1976]
Owner or Operator ...............................................................................
Marks of Nationality and Registration ................................ Flight No .................................
Date............................... Departure from .............................................
(Place and Country)
Arrival at ...................................
(Place and Country)
FLIGHT ROUTING
| *Place | Total Number of crew | Number of Passengers of this stage | Cargo |
| | Departure Place :
Embarking .................... Cargo Manifest attached
Through on same flight ......................
Arrival Place :
Disembarking ....................
Through on same flight ......................
|
* Place of origin, en-route and destination to be indicated.
Declaration of Health
| For official use only
|
Persons on board known to be suffering from illness other than airsickness or the effects of accidents, as well as those cases of illness disembarked during the flight ...............
Any other conditions on board which may lead to the spread of disease ..........................
Details of each disinsecting or sanitary treatment (place, date, time, method during the flight). If no disinsecting has been carried out during the flight give details of most recent disinsecting ........................
| |
Sgd., if required ................
Crew member concerned
I declare that all statements and particulars contained in this General Declaration, and in any supplementary form required to be presented with this General Declaration are complete, exact and true to the best of my knowledge and that all through passengers will continue/have continued on the flight.
Signature ............................
Authorised Agent or Pilot-in-Command
Size of entire document not more than 22 cm x 36 cm (Approx. 8-1/2" x 14").
FORM No. II
Passenger Manifest
[See Regulation 3(1) of the Export Manifest (Aircraft) Regulations, 1976]
Owner or Operator ............................................................................................................ Marks of
Nationality and Registration............................................Flight No............................. Date.................
Point of embarkation...................... Point of disembarkation .............................
(Place and Country) (Place and Country)
| Surname and initials Passport/Official travel Document details PNR details | For use by owner or operator only | For official use only
|
| |
Prepared by ............................ page....................... of...................... pages
|
Size of entire document not more than 22 cm x 36 cm (Approx. 8-1/2" x 14").
(Form II has been substituted vide CUS NTF NO. 75/2005 (NT) DATE 30/08/2005)
FORM No. III
Cargo Manifest
[See Regulation 3( 1) of the Export Manifest (Aircraft) Regulations, 1976]
Owner or Operator ...................................................................................
Marks of Nationality and Registration........................ Flight No..................... Date....................
Point of Loading.......................................... Point of unloading ..................................
(Place and Country) (Place and Country)
| Air Way Bill Number | Number of packages | Nature of goods | For use by Owner or Operator only | For official use only |
| |
Prepared by ............................ page....................... of...................... pages
|
Size of entire document not more than 22 cm x 36 cm (Approx. 8-1/2" x 14").
FORM No, IV
[See Regulation 3(1) of the Export Manifest (Aircraft) Regulations, 1976]
FlightNo ..............................
Aircraft departed for ..............
arrived from ........................
*List of Private Property in the Possession of the Captain and Crew
| Name of the crew mem- ber | Position held | Currency | Toba- cco prod- ucts | Alco- holic liquors | Wat- ches | Jew- ellery | Any other article, not enume- rated | Sign- ature | Rem- arks |
| | | Indian | Foreign | Trav- ellers" che- ques, etc. | | | S.No., Make, Brand | | | | |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 |
Aircraft imprest cash :
Aircraft cash collection :
Gold, coin and bullion :
Certified that the above declaration
is true to the best of my knowledge.
*Such of the articles declared herein as are to be landed should be specified separately in these columns.
Size of entire document not more than 22 cm x 30 cm.
Signature of Captain of the "Aircraft.
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