MINISTRY OF HEALTH
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|PUBLIC HEALTH AUTHORITY | |
|OFFICE OF THE PUBLIC HEALTH COMMISSIONER | |
|P. O. Box 52, Seychelles Hospital, Mahé, Republic of Seychelles | |
|Tel: 4388016, Fax: 4225131, E-Mail: pha@.sc | |
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|[pic] | |
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|Please submit to the Public Health Commissioner pha@.sc | |
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|APPLICATION FOR ENTRY INTO SEYCHELLES BY AIR AND SEA | |
|To be completed by Seychellois, persons holding resident permit and GOP holders in high risk countries, and persons arriving on private flight or by | |
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|Application details | |
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|Date of application: | |
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|Person making application: | |
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|Contact details of person making application: | |
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|Telephone/Fax: | |
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|Email: | |
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|Physical address: | |
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|Details of Crew and Passengers intending to enter Seychelles (indicate after the name whether Passenger (P) or Crew (C) | |
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|Name and Surname | |
|Age | |
|Nationality | |
|Passport No: | |
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|Travel Schedule | |
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|Intended date of arrival in Seychelles: | |
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|Time of arrival: | |
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|Intended date of departure from Seychelles: | |
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|Time of departure: | |
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|Country and airport/port of origin: | |
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|Itinerary, including transit stops: | |
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|Airline/Aircraft/Vessel details: | |
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|Purpose of entry: | |
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|Travel from Seychelles | |
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|Airline/Aircraft/Vessel details: | |
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|Country and airport/port of destination: | |
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|Itinerary, including transit stops: | |
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|Details of accommodation in Seychelles | |
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|Name of Hotel or Vessel | |
|Crew/Passenger | |
|Date in | |
|Date out | |
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|Additional Comments/Requests: | |
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|If arriving by private plane or yacht, details of crew must be submitted with the application | |
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