SGArrivalCard 041120241304

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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: 04/11/2024 10:36 AM (Singapore Time)

Trip 1 Date of Arrival (DD/MM/YYYY) 04/11/2024

Disembarkation/ Full Name (In Passport) Passport Number


Embarkation (DE)
Number
X9566Q0510 PATEL RAKESH P1121950
Disembarkation/Embarkation (DE) Number: X9566Q0510 NG

Personal Information
Full Name (In Passport)
PATEL RAKESH

Sex as indicated in passport Date of Birth


MALE 13/11/1998
Place of Residence
INDIA, UTTAR PRADESH, OTHERS IN UTTAR PRADESH

Country/Place of Birth Nationality/Citizenship


INDIA INDIAN
Passport Number Date of Passport Expiry
P1121950 20/06/2026
Mobile Number Email Address
+91 9136326803 RAKESHPATELDEO@GMAIL.COM

Trip Information and Declaration


Trip Information
Date of Arrival (DD/MM/YYYY) Date of Departure
04/11/2024 04/11/2024
Purpose of Travel Purpose of Travel (Others)
Others SHORE LEAVE
Mode of Travel
SEA
Mode of Transport Vessel Name
COMMERCIAL VESSEL GABRIELA A
Type of Accommodation in Singapore Accommodation (Others)
OTHERS DAY TRIP
Last City / Port of Embarkation Before Singapore
THAILAND, CHONBURI, PATTAYA
Next City / Port of Disembarkation After Singapore
THAILAND, CHONBURI, PATTAYA
Others
Have you ever used a passport under different name to enter Singapore? NO
Disembarkation/Embarkation (DE) Number: X9566Q0510 NG

Health Declaration (Trip 1)

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?

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