Thank you for using the Singapore Arrival Card!

This Singapore Arrival Card is only valid for one time use for travel
on the expected date of arrival indicated below. You may choose to download or print a copy of this
acknowledgement and retain it for the duration of your stay.Please note that the Singapore Arrival Card is not a
visa. The use of the Singapore Arrival Card e-Service is free of charge.

The unauthorised consumption, possession, import, export and/or trafficking of any controlled drug is an offence
under Singapore's Misuse of Drugs Act. Under the Act, drug trafficking is punishable by death.

Providing false health and travel declarations is an offence under Section 64(b) of Singapore's Infectious Diseases
Act. The penalty for providing false or misleading information is a fine of up to S$10,000 and/or imprisonment of
up to 6 months. For subsequent offence(s), the penalty is a fine up to S$20,000 and/or imprisonment of up to 12
months.You are reminded that it is your responsibility to update and resubmit your declarations prior to your
arrival in Singapore, and/or if there is any change in your health status and/or travel history.

You are required by law to submit a Cash (CBNI) Declaration if you are entering or leaving Singapore carrying
Physical Currency or Bearer Negotiable Instruments worth more than S$20,000 (or its equivalent in foreign
currency).

If you are bringing in any item, or carrying an item for someone else, but you do not know what it contains, you
must declare the item at the Red Channel.

You can refer to the ICA website at Entering and Departing Singapore(https://www.ica.gov.sg/enter-depart) for
more information on Singapore's entry requirements and the list of prohibited or controlled items.

Transaction Date: 12/10/2024 08:09 AM (Singapore Time)

Number of traveller(s): 4

Lead Traveller RAEVER KALALO

Disembarkati Full Name (In Passport) Passport Number

on/
Embarkation
(DE) Number
X3141P6518 RAEVER KALALO PE083190
Disembarkation/Embarkation (DE) Number: X3141P6518 NG

Personal Information
Full Name (In Passport)
RAEVER KALALO

Sex as indicated in passport Date of Birth

MALE 24/04/2014
Place of Residence
CANADA, BRITISH COLUMBIA, VANCOUVER (CANADA)

Country/Place of Birth Nationality/Citizenship

CANADA CANADIAN
Passport Number Date of Passport Expiry
PE083190 19/09/2028
Mobile Number Email Address
+604 6043647152 JAZMIN_KALALO@YAHOO.COM

Trip Information
Date of Arrival (DD/MM/YYYY)
12/10/2024
Purpose of Travel Purpose of Travel (Others)
Others TRANSIENT
Mode of Travel
AIR
Mode of Transport Flight Number
COMMERCIAL FLIGHT AIR CANADA (AC) AC19
Type of Accommodation in Singapore Accommodation (Others)
OTHERS TRANSIT
Last City / Port of Embarkation Before Singapore
CANADA, BRITISH COLUMBIA, VANCOUVER (CANADA)
Next City / Port of Disembarkation After Singapore
PHILIPPINES, NATIONAL CAPITAL REGION (NCR), MANILA
Date of Departure
12/10/2024

Others
Have you ever used a passport under different name to enter Singapore? NO
Disembarkation/Embarkation (DE) Number: X3141P6518 NG

Electronic Health Declaration (Lead Traveller)

Do you currently have fever, cough, shortness of breath, headache or vomiting? NO

Do you currently have rash? NO

Have you visited any of the listed countries in Africa or Latin America in the NO
past 6 days prior to your arrival in Singapore?

Traveller 2 LORADEL KALALO

Disembarkati Full Name (In Passport) Passport Number

on/
Embarkation
(DE) Number
X3141P6616 LORADEL KALALO AM550362
Disembarkation/Embarkation (DE) Number: X3141P6616 NG

Personal Information
Full Name (In Passport)
LORADEL KALALO

Sex as indicated in passport Date of Birth

FEMALE 12/10/1975
Place of Residence
CANADA, BRITISH COLUMBIA, VANCOUVER (CANADA)

Country/Place of Birth Nationality/Citizenship

PHILIPPINES CANADIAN
Passport Number Date of Passport Expiry
AM550362 26/11/2031
Mobile Number Email Address
+604 6043647152 JAZMIN_KALALO@YAHOO.COM

Trip Information
Date of Arrival (DD/MM/YYYY)
12/10/2024
Purpose of Travel Purpose of Travel (Others)
Others TRANSIENT
Mode of Travel
AIR
Mode of Transport Flight Number
COMMERCIAL FLIGHT AIR CANADA (AC) AC19
Type of Accommodation in Singapore Accommodation (Others)
OTHERS TRANSIT
Last City / Port of Embarkation Before Singapore
CANADA, BRITISH COLUMBIA, VANCOUVER (CANADA)
Next City / Port of Disembarkation After Singapore
PHILIPPINES, NATIONAL CAPITAL REGION (NCR), MANILA
Date of Departure
12/10/2024

Others
Have you ever used a passport under different name to enter Singapore? NO
Disembarkation/Embarkation (DE) Number: X3141P6616 NG

Electronic Health Declaration (Traveller 2)

Do you currently have fever, cough, shortness of breath, headache or vomiting? NO

Do you currently have rash? NO

Have you visited any of the listed countries in Africa or Latin America in the NO
past 6 days prior to your arrival in Singapore?

Traveller 3 RIO KALALO

Disembarkati Full Name (In Passport) Passport Number

on/
Embarkation
(DE) Number
X3141P6713 RIO KALALO AM550363
Disembarkation/Embarkation (DE) Number: X3141P6713 NG

Personal Information
Full Name (In Passport)
RIO KALALO

Sex as indicated in passport Date of Birth

MALE 27/03/1967
Place of Residence
CANADA, BRITISH COLUMBIA, VANCOUVER (CANADA)

Country/Place of Birth Nationality/Citizenship

PHILIPPINES CANADIAN
Passport Number Date of Passport Expiry
AM550363 26/11/2031
Mobile Number Email Address
+604 6043647152 JAZMIN_KALALO@YAHOO.COM

Trip Information
Date of Arrival (DD/MM/YYYY)
12/10/2024
Purpose of Travel Purpose of Travel (Others)
Others TRANSIENT
Mode of Travel
AIR
Mode of Transport Flight Number
COMMERCIAL FLIGHT AIR CANADA (AC) AC19
Type of Accommodation in Singapore Accommodation (Others)
OTHERS TRANSIT
Last City / Port of Embarkation Before Singapore
CANADA, BRITISH COLUMBIA, VANCOUVER (CANADA)
Next City / Port of Disembarkation After Singapore
PHILIPPINES, NATIONAL CAPITAL REGION (NCR), MANILA
Date of Departure
12/10/2024

Others
Have you ever used a passport under different name to enter Singapore? NO
Disembarkation/Embarkation (DE) Number: X3141P6713 NG

Electronic Health Declaration (Traveller 3)

Do you currently have fever, cough, shortness of breath, headache or vomiting? NO

Do you currently have rash? NO

Have you visited any of the listed countries in Africa or Latin America in the NO
past 6 days prior to your arrival in Singapore?

Traveller 4 JAZMIN KALALO

Disembarkati Full Name (In Passport) Passport Number

on/
Embarkation
(DE) Number
X3141P6811 JAZMIN KALALO AM550366
Disembarkation/Embarkation (DE) Number: X3141P6811 NG

Personal Information
Full Name (In Passport)
JAZMIN KALALO

Sex as indicated in passport Date of Birth

FEMALE 07/03/2008
Place of Residence
CANADA, BRITISH COLUMBIA, VANCOUVER (CANADA)

Country/Place of Birth Nationality/Citizenship

CANADA CANADIAN
Passport Number Date of Passport Expiry
AM550366 25/11/2026
Mobile Number Email Address
+604 6043647152 JAZMIN_KALALO@YAHOO.COM

Trip Information
Date of Arrival (DD/MM/YYYY)
12/10/2024
Purpose of Travel Purpose of Travel (Others)
Others TRANSIENT
Mode of Travel
AIR
Mode of Transport Flight Number
COMMERCIAL FLIGHT AIR CANADA (AC) AC19
Type of Accommodation in Singapore Accommodation (Others)
OTHERS TRANSIT
Last City / Port of Embarkation Before Singapore
CANADA, BRITISH COLUMBIA, VANCOUVER (CANADA)
Next City / Port of Disembarkation After Singapore
PHILIPPINES, NATIONAL CAPITAL REGION (NCR), MANILA
Date of Departure
12/10/2024

Others
Have you ever used a passport under different name to enter Singapore? NO
Disembarkation/Embarkation (DE) Number: X3141P6811 NG

Electronic Health Declaration (Traveller 4)

Do you currently have fever, cough, shortness of breath, headache or vomiting? NO

Do you currently have rash? NO

Have you visited any of the listed countries in Africa or Latin America in the NO
past 6 days prior to your arrival in Singapore?