This document contains general declarations for multiple flights of an aircraft between locations in Australia, Indonesia, and within Indonesia. It lists crew and passenger details as well as health declarations for each flight.
This document contains general declarations for multiple flights of an aircraft between locations in Australia, Indonesia, and within Indonesia. It lists crew and passenger details as well as health declarations for each flight.
This document contains general declarations for multiple flights of an aircraft between locations in Australia, Indonesia, and within Indonesia. It lists crew and passenger details as well as health declarations for each flight.
This document contains general declarations for multiple flights of an aircraft between locations in Australia, Indonesia, and within Indonesia. It lists crew and passenger details as well as health declarations for each flight.
(OUTWARD / INWARD) AGRICULTURE, CUSTOMS IMMIGRATION AND PUBLIC HEALTH
OWNER OPERATOR: FMG AIR PTY LTD DATE: 22 Oct 2023
REGISTRATION: VHFMG
DEPARTURE FROM: YPPH - Perth, Western Australia AUS ARRIVAL: WADD - Bali, Bali IDN
DEPARTURE TIME: 21 Oct 2023 23:15 Z ARRIVAL TIME: 22 Oct 2023 02:30 Z
CREW NAME GENDER PASSPORT EXPIRATION DATE OF NATIONALITY
BIRTH
FISHER, KIMBERLEY PETER WALKER M RA1597639 21 Feb 2033 26 Jun 1971 AUS Captain PLACE OF BIRTH: South Perth, AUSTRALIA
BRONNUM, PER RUNE SCAVENIUS M PB1148260 23 Jul 2029 18 Mar 1964 AUS Pilot PLACE OF BIRTH: Copenhagen, DENMARK
KENYON, NATTHA F PB2253014 12 Feb 2031 09 Aug 1994 AUS
Attendant PLACE OF BIRTH: TITIRANGI, NEW ZEALAND
PASSENGER NAME GENDER PASSPORT EXPIRATION DATE OF NATIONALITY
BIRTH M PB5095691 25 May 2032 12 Apr 1991 AUS BAGULEY, THOMAS WILLIAM PLACE OF BIRTH: M RA1965081 16 May 2026 18 Nov 1961 AUS FORREST, JOHN ANDREW HENRY PLACE OF BIRTH: F PA5179941 26 Nov 2026 01 Nov 1994 AUS FORREST, SOPHIA MARGARET PLACE OF BIRTH: M PA8310536 20 Nov 2028 01 Jul 2000 AUS FORREST, SYDNEY DAVID WOODWARD PLACE OF BIRTH: F PA7173549 01 Nov 2027 15 Oct 2001 AUS HATTERSLEY, CHILLI RACHEL ANNE PLACE OF BIRTH: AUSTRALIA F PA8915155 08 Feb 2029 02 Dec 1990 AUS ZOE, ZARA PLACE OF BIRTH: Wahroonga, AUSTRALIA
Page 1 GENERAL DECLARATION
(OUTWARD / INWARD) AGRICULTURE, CUSTOMS IMMIGRATION AND PUBLIC HEALTH
Declaration of Health: Persons on board known to be For official use only
suffering from illness other than airsickness or the effects of accidents, as well as those cases of illness disembarked during the flight:
Any other condition 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:
I declare that all statements and particulars Signature:
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 through passengers will continue/have continued on the flight. ____________________________________________ Authorized Agent or Pilot-in-Command
Page 2 GENERAL DECLARATION
(OUTWARD / INWARD) AGRICULTURE, CUSTOMS IMMIGRATION AND PUBLIC HEALTH
OWNER OPERATOR: FMG AIR PTY LTD DATE: 22 Oct 2023
REGISTRATION: VHFMG
DEPARTURE FROM: WADD - Bali, Bali IDN ARRIVAL: WAPP - Ambon, Maluku IDN
DEPARTURE TIME: 22 Oct 2023 03:30 Z ARRIVAL TIME: 22 Oct 2023 05:30 Z
CREW NAME GENDER PASSPORT EXPIRATION DATE OF NATIONALITY
BIRTH
FISHER, KIMBERLEY PETER WALKER M RA1597639 21 Feb 2033 26 Jun 1971 AUS Captain PLACE OF BIRTH: South Perth, AUSTRALIA
BRONNUM, PER RUNE SCAVENIUS M PB1148260 23 Jul 2029 18 Mar 1964 AUS Pilot PLACE OF BIRTH: Copenhagen, DENMARK
KENYON, NATTHA F PB2253014 12 Feb 2031 09 Aug 1994 AUS
Attendant PLACE OF BIRTH: TITIRANGI, NEW ZEALAND
PASSENGER NAME GENDER PASSPORT EXPIRATION DATE OF NATIONALITY
BIRTH M PB5095691 25 May 2032 12 Apr 1991 AUS BAGULEY, THOMAS WILLIAM PLACE OF BIRTH: M RA1965081 16 May 2026 18 Nov 1961 AUS FORREST, JOHN ANDREW HENRY PLACE OF BIRTH: F PA5179941 26 Nov 2026 01 Nov 1994 AUS FORREST, SOPHIA MARGARET PLACE OF BIRTH: M PA8310536 20 Nov 2028 01 Jul 2000 AUS FORREST, SYDNEY DAVID WOODWARD PLACE OF BIRTH: F PA7173549 01 Nov 2027 15 Oct 2001 AUS HATTERSLEY, CHILLI RACHEL ANNE PLACE OF BIRTH: AUSTRALIA F PA8915155 08 Feb 2029 02 Dec 1990 AUS ZOE, ZARA PLACE OF BIRTH: Wahroonga, AUSTRALIA
Page 3 GENERAL DECLARATION
(OUTWARD / INWARD) AGRICULTURE, CUSTOMS IMMIGRATION AND PUBLIC HEALTH
Declaration of Health: Persons on board known to be For official use only
suffering from illness other than airsickness or the effects of accidents, as well as those cases of illness disembarked during the flight:
Any other condition 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:
I declare that all statements and particulars Signature:
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 through passengers will continue/have continued on the flight. ____________________________________________ Authorized Agent or Pilot-in-Command
Page 4 GENERAL DECLARATION
(OUTWARD / INWARD) AGRICULTURE, CUSTOMS IMMIGRATION AND PUBLIC HEALTH
OWNER OPERATOR: FMG AIR PTY LTD DATE: 28 Oct 2023
REGISTRATION: VHFMG
DEPARTURE FROM: WAPP - Ambon, Maluku IDN ARRIVAL: WAAA - Makassar, South Sulawesi IDN
DEPARTURE TIME: 28 Oct 2023 14:45 Z ARRIVAL TIME: 28 Oct 2023 16:20 Z
CREW NAME GENDER PASSPORT EXPIRATION DATE OF NATIONALITY
BIRTH
FISHER, KIMBERLEY PETER WALKER M RA1597639 21 Feb 2033 26 Jun 1971 AUS Captain PLACE OF BIRTH: South Perth, AUSTRALIA
BRONNUM, PER RUNE SCAVENIUS M PB1148260 23 Jul 2029 18 Mar 1964 AUS Pilot PLACE OF BIRTH: Copenhagen, DENMARK
KENYON, NATTHA F PB2253014 12 Feb 2031 09 Aug 1994 AUS
Attendant PLACE OF BIRTH: TITIRANGI, NEW ZEALAND
PASSENGER NAME GENDER PASSPORT EXPIRATION DATE OF NATIONALITY
BIRTH M PB5095691 25 May 2032 12 Apr 1991 AUS BAGULEY, THOMAS WILLIAM PLACE OF BIRTH: M RA1965081 16 May 2026 18 Nov 1961 AUS FORREST, JOHN ANDREW HENRY PLACE OF BIRTH: F PA5179941 26 Nov 2026 01 Nov 1994 AUS FORREST, SOPHIA MARGARET PLACE OF BIRTH: M PA8310536 20 Nov 2028 01 Jul 2000 AUS FORREST, SYDNEY DAVID WOODWARD PLACE OF BIRTH: F PA7173549 01 Nov 2027 15 Oct 2001 AUS HATTERSLEY, CHILLI RACHEL ANNE PLACE OF BIRTH: AUSTRALIA F PA8915155 08 Feb 2029 02 Dec 1990 AUS ZOE, ZARA PLACE OF BIRTH: Wahroonga, AUSTRALIA
Page 1 GENERAL DECLARATION
(OUTWARD / INWARD) AGRICULTURE, CUSTOMS IMMIGRATION AND PUBLIC HEALTH
Declaration of Health: Persons on board known to be For official use only
suffering from illness other than airsickness or the effects of accidents, as well as those cases of illness disembarked during the flight:
Any other condition 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:
I declare that all statements and particulars Signature:
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 through passengers will continue/have continued on the flight. ____________________________________________ Authorized Agent or Pilot-in-Command
Page 2 GENERAL DECLARATION
(OUTWARD / INWARD) AGRICULTURE, CUSTOMS IMMIGRATION AND PUBLIC HEALTH
OWNER OPERATOR: FMG AIR PTY LTD DATE: 29 Oct 2023
REGISTRATION: VHFMG
DEPARTURE FROM: WAAA - Makassar, South Sulawesi IDN ARRIVAL: ZGHA - Changsha, Hunan Province CHN
DEPARTURE TIME: 28 Oct 2023 17:20 Z ARRIVAL TIME: 28 Oct 2023 22:00 Z
CREW NAME GENDER PASSPORT EXPIRATION DATE OF NATIONALITY
BIRTH
FISHER, KIM PETER WALKER M RA1927815 06 Feb 2026 26 Jun 1971 AUS Captain PLACE OF BIRTH: South Perth, AUSTRALIA
BRONNUM, PER RUNE SCAVENIUS M PB1148260 23 Jul 2029 18 Mar 1964 AUS Pilot PLACE OF BIRTH: Copenhagen, DENMARK
KENYON, NATTHA F PB2253014 12 Feb 2031 09 Aug 1994 AUS
Attendant PLACE OF BIRTH: TITIRANGI, NEW ZEALAND
PASSENGER NAME GENDER PASSPORT EXPIRATION DATE OF NATIONALITY
BIRTH M PB5095691 25 May 2032 12 Apr 1991 AUS BAGULEY, THOMAS WILLIAM PLACE OF BIRTH: M RA1965081 16 May 2026 18 Nov 1961 AUS FORREST, JOHN ANDREW HENRY PLACE OF BIRTH: F PA5179941 26 Nov 2026 01 Nov 1994 AUS FORREST, SOPHIA MARGARET PLACE OF BIRTH: M PA8310536 20 Nov 2028 01 Jul 2000 AUS FORREST, SYDNEY DAVID WOODWARD PLACE OF BIRTH: F PA7173549 01 Nov 2027 15 Oct 2001 AUS HATTERSLEY, CHILLI RACHEL ANNE PLACE OF BIRTH: AUSTRALIA F PA8915155 08 Feb 2029 02 Dec 1990 AUS ZOE, ZARA PLACE OF BIRTH: Wahroonga, AUSTRALIA
Page 1 GENERAL DECLARATION
(OUTWARD / INWARD) AGRICULTURE, CUSTOMS IMMIGRATION AND PUBLIC HEALTH
Declaration of Health: Persons on board known to be For official use only
suffering from illness other than airsickness or the effects of accidents, as well as those cases of illness disembarked during the flight:
Any other condition 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:
I declare that all statements and particulars Signature:
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 through passengers will continue/have continued on the flight. ____________________________________________ Authorized Agent or Pilot-in-Command
