KT. BQ TRU'ONG TRIYONG

BQ TAI CHINH CQNG HOA XA HOI CHU NGHIA VICT NAM D(ic 14p - To. do - 11#nh phtic

SO: 121C 3 /QD-BTC Ha Noi, ngay•Z 4 thong' nam 2018

QUYET DINH Ve viec

9

ding tha tuc hanh chinh moi ban hanh vtyc hai quan c pham vi chin nang quan 1Sr nha nuerc cfia Tai chinh CVC HAIQUAN TiNH LONGV1P

so. Art DEN Ngay, 0///1f

Cltuyeiu../etur".-

BO TRU'ONG BO TAI CHINH

Lan dr Nghi dinh so 87/2017ND-CP ngay 26 thong 7 nam 2017 cita Chinh phu quy dinh chirc nang, nhiem va, quyen ban va co cau to chirc cUa Bo Tai chinh;

Can cir Nghi dinh so 63/2010/ND-CP ngay 08 thong 6 nam 2010 dm Chinh phu ve kiem soot thU tuc hanh chinh; Nghi dinh so 48/2013/ND-CP ngay 14 thong 5 nam 2013 cUa Chinh phU sira dOi, bO sung met so dieu cita cac nghi dinh lien quan den kiem soot thu tuc hanh chinh va Nghi dinh so 92/2017/ND-CP ngay 07 thong 8 nam 2017 cua Chinh phu sira doi, bo sung met so dial dm cac nghi dinh lien quan den kiem soar thii tuc hanh chinh;

Xet de nghi cua TOng cuc truerng TOng cue Hai quan,

QUYET DINH:

Dieu 1. Cong b6 kern theo Quyet dinh nay 03 thii tuc hanh chinh moi ban hanh thuOc pham vi chirc nang quail ly cila BO Tai chinh

Dieu 2. Quyet dinh nay có hieu luc thi hanh ke tit ngayk)"r.

Dieu 3., Chanh Van phong, Vu tnrOng Vu Phap the BO, Co quart, Thu toeing cac Tong cuc, vu, cue, don vi co lien quan chiu trach nhiem thi hanh Quyet dinh

Noi nhein.yLV - Nhu Dieu 3; - Ural dao BO; - Website Bq Tai chinh; - Van ph6ng Chinh phu (Cnc KSTTHC); - Luu: VT, TCHQ.(10)

THU TUC HANH CHINH MOT BAN HANH THUQC PHAN' VI CH- CC NANG QUAN LY CUA BO TAI CHINH

(Ban hanh kern theo Quye't chinh s 1) FS /QD-BTC ngay 2.4 thang..Y nam 2018 cua .13.0 trur'rng N Tat chinh)

PHAN I. DANH MIX THU TUC HANH CHINH

STT Ten thil tuc hanh chinh Linh vityc Co quan thkrc MO

Thu tuc hanh chinh cap Chi cuc Hai quan (03 thii tuc)

1 Thil tuc d6i voi tau bay xuat canh dux hien qua Ca the met dm quoc gia

Hai quan - Chi cuc Hai quan dm khdu. - Cang vu hang khong. - Cong an cua khau. - Ca quan kiem dich do, ng vat. - Ca quan kiem dich thuc vat. - To chirc kiem dich y to bien gi6i.

2 Thu tuc d6i voi tau bay nhap canh thirc hien qua Ca the met cua quoc gia

Hai quan - Chi cuc Hai quan dm khau. - Cang vu hang khong. - C6ng an dm khau. - Ca quan kiem dich Ong vat. - Ca quan kiem dich thuc vat. - TO chirc kiem dich y to bien gi6i.

3 Thu tile cio'i voi tau, bay qua canh thuc hien qua Ca the met cua quoc gia

Hai quan - Chi cue Hai quan dm khdu. - Cang vu hang kh6ng. - C6ng an cua khau. - Ca quan kiem dich deng vat. - Ca quan kiem dich thuc vat. - TO chirc kiem dich y to bien gi6i.

PHAN II: NQI DUNG CHI TIET TUNG THU TUC HANH CHINH

THU TUC HANH CHINH MOI BAN HANH THUQC PHAM VI CHfrC NANG QUAN LY CUA BO TAI CHINH

Thu tic hanh chinh cep Chi cvc Hai quan 1. Thu tip di Wei tau bay xuet canh thtrc hien qua Cu the mot cum quoc gia - Trinh tir thtrc hien:

+ Btrac 1: * Ngued lam thu tic khai ban theo phuong thirc dien cac th6ng tin hoac

chirng tir thong qua Cong thong tin met dm quoc gia. * Ngued lam thil tic phai nep cac chimg tir ban gidy (ban chinh) cho cac ca

quan quan 1ST nha nuac tai cang hang khong. + Buoc 2: Ca quan quan 13"7 nha nuac can cu chirc nang nhiem vi theo quy

0111 cua phap luat chin trach nhiem: Tiep nhan, phan hoi viec da tiep nhan doi vii thong tinichimg tir cung cap theo phuong thirc dien tir; tiep nhan d8i vii chimg tir nep ban giay; kiem tra doi vii chirrig tir xuat trinh ban giay; xac nhan hoan thanh thu tvc doi vii tau bay xuat canh, nhap canh, qua canh. Viec tiep than, phan h8i viec tiep nhdn va xac than hoan thanh thu tvc thuc hien to deng thong qua Cong thong tin met cua quoc gia cho nguai lam th8 Ale va cac ben lien quan. - Cach thirc thtrc hien:

+ Khai bao theo phuang thirc dien tir thong qua Cong thong tin met cua quoc gia;

+ Nep cac chirng tir ban gidy (ban chinh) cho cac co quan quan ly nha nuov tai cang hang 'thong. - Thanh phan, so ltryng he so:

* Thanh philn ho sa: 1. Ngued lam thu t-vc khai bao theo phucmg thirc dien tir cac thong tin hoac

chirng tit sau thong qua Cong thong tin met dm quoc gia: , a) Ban khai hang hoa xuat khdu bAng throng hang Meng va van don chu

di vii tau bay xuat canh cc') van chuyen hang Ma xuat khdu; b) Danh sach hanh khach Mi vii tau bay xuat canh co van chuyen hanh

khach; c) Danh sach to bay; d) Ban luac khai hanh 13'7 kST gtiri cua hanh khach doi vii tau bay xuat canh

co van,chuyen hanh gui cua hanh khach. Thong tin nay duoc khai dec lap hoac nam trong Danh sach hanh khach, Danh sach to bay va Thong tin ve dat ch8 cua hanh khach (PNR);

d) Thong tin va chuyen bay (dueng bay, so lieu chuyen bay, ten hang hang khong, cira khau, s8 lugng hanh khach, to bay va thed gian xuat canh);

e) Thong tin va dat ch78 cua hanh khach (thong tin PNR).

Cac chi ti8u thong tin khai bao trong cac chirng tir theo phuong thirc din tir tai khoan nay thong qua Cong thong tin mot cua quoc gia theo Phu lvc ban hanh kern theo Quyat dinh 43/2017/QD-TTg.

2. Chimg tir phai nOp hoac xuat trinh: Nguoi lam thil tuc phai nop cac chirng tir ban giay (ban chinh) sau cho cac

ca quan quan ly nha nu6c tai cang hang khong: a) To khai chung hang kh8ng (bao gam khai bao y ta) n8p cho to chirc

kiem dich y to bian gioi; b) Gidy khai bao y to thi the, hai cat, tro cat (neu co) nap cho to chirc kiem

dich y to bian gi6i; c) Giay khai bao y to mdu vi sinh y h9c, san pharn sinh h9c, mo, bo phan ca

the nguoi (neu co) nOp cho to chirc kiem dich y to bian gioi. Nguoi lam thil Ale phai xuat trinh cac chung tir ban giay (ban chinh) sau

cho cac ca quan quan ly nha nuo.c tai cang hang khong:

d) HO chian hoac giay to c6 gia tri di lai quoc to va thi thuc, hanh khach; HO chieu hoac giay to c6 gia tri di lai quoc va thi thuc to bay xuat trinh cho Cong an da khau;

d) Phieu ti8m chimg quoc to cAa to bay, hanh khach (trong truemg hop xuat phat hoac di qua vAng c6 dich hoac bi nghi ngo mac banh hoac tac nhan gay banh truyan nhfam) xuat trinh cho to chirc kiem dich y to bian

* So luring ha so: 01 b8 - TWA halt giii quyet

+ Doi vai cac chimg tir neu tai khoan 1 Dieu 4 Quyat -dinh 43/2017/QD-TTg: KhOng qua 01 gia ke tir khi nguoi lam thil tuc khai bao thong tin day du, h9p la va giri thong tin chung tir din tir tai he thong;

+ Doi vOi cac chung-tir neu tai khoan 2 Dieu 4 Quyat dinh 43/2017/QD-TTg: Ngay khi nguoi lam thil tuc nap, xuat trinh du cac giay to hop la theo quy dinh. - Ott turfing thirc hien thin tuc hanh chinh:

Nguoi lam thu tuc IA ca tru,e'mg hoac nguoi dai din hop phap cua nguoi 'van tai (hang hang khong hoac dai 13", hang hang khong), cac to chirc, ca nhan c6 lien quan thuc hian viac khai bao va lam thu tuc dai voi tau bay xuat canh, nhap canh, qua canh voi cac ca quan quan 157 nha nuoc tai cang hang khong thong qua Cong thong tin mot cira quoc gia.Trueng h9p hang hang khong hoac dai ly hang hang khong IchOng co day du thong tin chi tiet ye van don thir cap thi nguoi phat hanh van don do co trach nhiam tao lap, giri thong tin dian tir chi tiet ye van don thir cap den Cong thong tin mot cira quoc gia. - quan thirc hien thit tuc hanh-chinh:

Cac ca quan quan 13", nha nu6c tai cang hang khong bao gam: Hai quan cira khan, cang vu hang khong, ding an cira khan, ca quan kiem dich dOng vat, ca quan kiem dich thgc vat, to chirc kiem dich y t6 bian gi6i

- Ket qua thtrc hien urn tic hanh chinh: Co quan quan ly nha nu& can cir chirc nang nhiem vu theo quy dinh cua

phap luat chiu trach,nhiem: Tiep nhan, phan hoi viec da tiep nhan doi voi thong tin/chung cung cap theo phuang thirc dien tir; tiep nhan doi voi chung tir nep ban giay; kiem tra doi voi chirng tir xuat trinh ban giay; xac nhan hoan thanh thu Arc doi voi tau bay xuat canh, nhap canh, qua canh.

Viec tiep nhan, phan h6i viec tier) nhan va xac nhan hoan thanh thir tie dugc thuc hien to deng thong qua C6ng thong tin mot cira quoc gia cho nguari lam thii tuc va cac ben lien quan. - Phi, 1e phi: Khong c6. - Ten mAu dun, mau tCr khai:

+ Ban khai hang h6a xuat Ichau, nhap Ichau bang dugng hang khong theo Phu line ban hanh kem theo Quyet dinh 43/2017/QD-TTg ngay 26/9/2017.

+ Thong tin ve van dan cha/Van don thu cap theo Phu luc ban hanh kern theo Quyet dinh 43/2017/QD-TTg ngay 26/9/2017.

+ Danh. sach hanh khach (Passenger List) theo Phu luc ban hanh kern theo Quyet dinh 43/2017/QD-TTg ngay 26/9/2017.

+ Danh sach -CO lai va nhan vien lam viec tren tau bay theo Phu luc ban hanh kern theo Quyet dinh 43/2017/QD-TTg ngdy 26/9/2017.

+ Thong tin ve ctat ch6 cua hanh khach (thong tin PNR) theo Phu luc ban hanh kern theo Quyet dinh 43/2017/QD-TTg ngay 26/9/2017.

+ To. khai chung hang khong (bao g'om ban khai y te): Theo m'Au se 2, Phu line 1 ban hanh kern theo Nghi dinh so 103/2010/ND-CP ngay 01 thang 10 nam 2010 dm Chinh ph*. - Yen cAu, dieu kien thtrc hien thil tuc hanh chinh: Khong c6. - Can car phap 1ST dm thit tuc hanh chinh:

+ Can c* Luat To chirc Chinh phn ngay 19 thang 6 nam 2015; + Can cir Luat Hai quan ngay 23 thang 6 nam 2014; + Can cir Luat Hang khong dan dung Viet Nam ngay 29 thang 6 nam 2006

va Luat sira doi, bo sung mot so dieu cua Luat Hang khOng dan clUng Viet Nam ngay 21 thang 11 nam 2014;

+ Can cu Luat Nhap canh, xuat canh, qua canh, cu tril cua ngued nuoc ngoai tai Viet Nam ngay 16 thang 6 nam 2014;

+ Can cir Luat Giao dich dien tir ngay 29 thang 11 nam 2005; + Can cu Nghi Binh so 08/2015/ND-CP ngay 21 thang 01 nam 2015 dm

Chinh phu quy dinh chi tiet va bien phap thi hanh Luat Hai quan ye thu tuc hai quan, kiem tra, giam sat, kiem soat hai quan;

+ Can cir Nghi dinh 27/2011/ND-CP ngay 09 thang 4 nam 2011, cua. Chinh ph* quy dinh ye cung cap, khai thac, xir sir dung thong tin ve hanh khach truck khi nhap canh Viet Nam qua &rang hang khong.

+ Can, cir Nghi dinh 102/2015/ND-CP ngay 20 thang 10 nam 2015 ciia Chinh ph* ye quan 1Y, khai thac cang hang khong, san bay;

+ Can cu Nghi dinh so 103/2010/ND-CP ngay 01 thang 10 nam 2010 cua Chinh phu quy, dinh chi .661 thi hanh mot so dieu cua Luat Phong, ch6ng b'enh truyen nhigm ye kiem dich y to bien gi6i;

+ Can, c* Nghi dinh so 136/2007/ND-CP ngay 17 thang 08 nam 2007 cua Chinh ye xuat canh, nhap canh cua cong dan Viet Nam;

+ Can cir Nghi dinh so 94/2015/ND-CP ngay 16 thang 10 nam 2015 sira doi, b8 sung mot so dieu cua Nghi dinh so 136/2007/ND-CP ngay 17 thang 08 nam 2007 ye xuat canh, nhap canh cua cong dan Viet Nam;

+ Can cir Quyect dinh 43/2017/QD-TTg ngay 26/9/2017 cua Thu tuong Chinh phu quy dinh trach nhiem thvc hien thil tvc doi vol tau bay xuat canh, nhap canh, qua canh thong qua Co ch6 mot cua qucic gia.

Phti luc CAC CHI TIEU THONG TIN CUA CAC CHING TU. KHAI BAO THEO PHUONG THU'C DIE:N Tfr QUA CONG THONG TIN MOT CITA QUOC GIA (Kern theo Quyit clinh so' 43/2017/QD-7Tg

ngay 26 thang 9 nam 2017 cua Thti ttrOng Chinh phi)

1. Ban khai hang h6a xuat khAu, nhap khan bang duirng hang khOng

VIT :-.ftti fi_ IL! t116% ftkii . 1 ( Thong tin chung:

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RAIL {Lip

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1 Ma hang chuyen chef (Operator or Carrier Code) ,

x x 2 S6 hieu chuyen bay (Flight Number) x

3 Thai gian khai hanh du kien (Date and Time of Scheduled Departure) x YYMMDD/

HHMM

4 Ma cang/san bay xep hang (Airport Code of Loading) x x

5 S6 dang kY tau bay (Aircraft Registration) x Thong tin "diein den dln'tie : '

6 Ma nuac 'den (ISO Country Code) x x

7 Thai gian den du kien (Date and Time of Scheduled Arrival) x YYMMDD/

HHMM

8 Ma cang/san bay/thanh ph6 den (Airport/City Code of Arrival) x x

z , . Th8ng tin diem , do. hang (Point of Unloading):

9 Ma cang/san bay da hang (Airport Code of Unloading) x

10 Dinh nghia tau bay khong chef hang hoa (Nil Cargo Code?

11 Thai gian den du kien (Date and Time of Scheduled Arrival) x YYMMDD/

HHMM

12 Thai gian di du kien (Date and Time of Scheduled Departure) x

YYMMDD/ HHMM

Thong tin van doll: Co the , la:p

13 S6 van don (AWB Number) x

14 Ma san bay/thanh ph6 nai di (dm hang h6a) (Airport/City Code of Origin) x x

15 Ma san bay/thanh ph6 nai den (dm hang hoa) (Airport/City Code of Destination) x x

16 Ma m6 to phucmg thirc van chuyen (Shipment Description Code) x x

17 S6 luting (Number of Pieces) x

18 Mo to hang Ma (Manifest Description Nature of Goods) x

19 Ma xirlSr hang boa dac bit (Special Handling Code (SHC)) x

20 Dan vi tinh trong luting (Weight Code) x x 21 Trong luting (Weight) x

22 Don vi tinh kich thuot (Measurement Unit Code) x x

23 Chi'eu dai (Length Dimension) x

24 Chieu reng (Width Dimension) x 25 Chieu cao (Height Dimension) x

26 S8 luting kien (Number of Pieces) x

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27 S6 lugng kin (Number of Pieces) x : AirdaciiiiiiiTh : i( 1 1. 4'

28 Loai ULD (ULD Type) x x 29 S6 ULD (ULD Serial Number) x 30 MA chit SCY hiru ULD (ULD Owner Code) x 31 Vi tri ULD (ULD Loading Locator) 32 Ghi chit ULD (ULD Remark)

"Thong tin , 33 Ngay tao ban khai hang h6a YYMMDD

2. Thong tin ve sin don chii/V4n don thfr cap

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1 So van don chit (Master AWB Number): x , . l f;

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2 MA cang/san bay/thanh ph8 dm not hang di (Airport/City Code of Origin)

x x

3 MA cang/san bay/thank pho cna nai hang den (Airport/City Code of Destination) x x

Thong tin chi tilt so ['Lyng tren van don Mu (Quantity Detail): x

4 MA mo to phuang thirc van chuyen (Shipment Description Code) x x

5 S6 luting (Number of Pieces) x 6 Don vi tinh trong luting (Weight Code) x x 7 Trong luting (Weight) x

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8 S6 van don thir cap (I-IWB Serial Number) x

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9x MA cang/san bay/thank ph8 nai hang di (Airport/City Code (of Departure)) , x

10 MA cang/san bay/thanh pho nai hang den (Airport/City Code (of Destination)) x x

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" Thong tin tong cua van don 7hrr reili -(House: 4i

' Waybill , Totals): ' ' , fi: • - , ,

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11 Se, luting hang hoa (Number of Pieces) x 12 Don vi tinh trong luting (Weight Code) x x 13 Trong luting (Weight) 14 D4c tinh hang haa (Nature of Goods) x

15 MA xir ly hang h6a d4c bit (Special Handling Code (SHC)) x

16 Mo to hang h6a (Free Text Description of Goods) x

17 ma HS (Harmonised Commodity Code) Thong ,_tin lien quan den; Hai 'quail (Other Customs Information): .,- :- ''

18 MA mac (ISO Country Code) x

19 Thong tin Ichac (Supplementary Customs Information)

x Thong tin nguiri van chuyeningiroi, pH hang (Shipper):

20 Ten ngtred van chuyeningtrai giri hang (Name) x

21 Dia chi nguOi van chuyen/nproi giri hang (Street Address) x

Ccic thong tin vd vi tri °cation): . 21 Dia diem (Place) x 22 Quan/huyen (State/Province) 23 MA quOc gia (ISO Country Code) x x 24 MA bun dien (Post Code)

-Thong tin lien'h? (Contact Detail): 25 SO dien thoai lien he (Contact Number)

. _ Thong tin ngiroi nhan hang (Consignee):

26 Ten ngtrai nhan hang (Name) x 27 Dia chi ngiroi nhan hang (Street Address) x

Cac thong tin ve vi tri (Location): x , 28 Dia diem (Place) x 29 Qu'an/huyen (State/Province) 30 MA nu& (ISO Country Code) x x 31 MA bun dien (Post Code)

Lien he chi tilt (ConMet Detail): 32 SO dien thoai lien he (Contact Number) x

Thong tin chi phi (Charge Declarations): 33 Ma nguyen to (ISO Currency Code) x x

Thong tin xac dinh tra phitrwerc/traph(sau (Prepaid/Collect Charge Declaration's); x" -

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Thong tin xac dinh tra phi theo tong luting truck34 hay sau (P/C Ind. (Weight/Valuation)) x

35 Thong tin xac dinh tra loci phi khac trixac hay sau (P/C Ind. (Other Charges)) x

Tri gia van chuyin (Value for Carriage Declaration): x

36 Thong tin Tri gia khai bao cho van chuyen (Declared Value for Carriage or No Value Declared (NVD))

x

Tri gia khai &la Hai quan (Value for Customs Declaration): x

37 Thong tin Tri gia khai bao hai quan (Declared Value for Carriage or No Value Declared (NVD))

x

Tri gia khai bao bao hiem (Value for Insurance Declaration): x

38 Se tien bao hiem/ 'Chong có phi bao hiem (Amount of Insurance/(No Value (XXX))

x

3. Danh sfich hanh khach (Passenger List)

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1 Nha khai thac chuyen bay (Operator) x

2 MA hang hang IchOng va so hieu chuyen bay (Airline Code and Flight Number)

x x

3 Thai gian kheri hanh du kien (Scheduled Local Departure Dates/Times) x

YYMMDD/ HHMM

4 Se Bang kr tau bay (Aircraft Registration) x 5 Quec tich tau bay (Marks of Nationality) x x 6 MA cang/san bay nai di (Departure from) x x 7 ma cang/san bay ncri den (Arrival at) x x

8 Thai gian den du kien (Scheduled Local Arrival Dates/Time)

YYMMDD/ HHMM

9 -tong so hanh khach/phi hanh down (Total Number of Passengers and Number of Crew Members)

x

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10 Vi tri ch8 ngei ciia hanh khach (Seat) 11 Giai tinh (Gender) x x

12 H9 va ten hanh khach (Surname/Given Name(s)) x

13 Quec tich (Nationality) x x 14 Ngay sinh dm hanh khach (Date of Birth) x YYMMDD

15 Se giAy to. lien quan (loci giay to co gia tr" xuat nhap canh) (Doc. No)

x

16 Loai giAy to (co gia tri xuat canh/nhAp canh) (Document Type) x x

17 Nui cap (Place of issue) x

18 Ngay het han dm giAy to lien quan (Expiration Date of Official Travel Document)

x YYMMDD

19 Se the hanh 15r (neu co) x 20 Se luting kien hanh lr (neu co) x 21 Trgng luting hanh 15r (neu co) x

22 Cang len tau (Place/Port of Original Embarkation) x x

23 Cang reri tau (Place/Port of Debarkation) x x

4. Danh sich to lai va nhan vien lam vies teen tau bay

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Thong tin chtiyen bay (Flight InformatiOn)P , - .-

1 Nha khai thac chuyen bay (Operator) x

2 MA hang hang kh8ng va s6 hieu chuyen bay (Airline Code and Flight Number) x x

3 Thoi gian khed hanh du kien (Scheduled Local Departure Dates/Times) x YYMMDD/

HHMM 4 So (tang kY tau bay (Aircraft Registration) x 5 Quac tich tau bay (Marks of Nationality) x x 6 ma cang/san bay not di (Departure from) x x 7 MA cang/san bay not den (Arrival at) x x

8 Thai gian den du kien (Scheduled Local Arrival Dates/Time)

YYMMDD/ HHMM

9 Tang so hanh khach/phi hanh down (Total Number of Passengers and Number of Crew Members)

x

Tlioiiiiiiitiii'vM ingilianli.khiCh`CiLthe: :". ' 10 H9 va ten (Surname/Given Name(s)) 11 Gied tinh (Gender) x x 12 Chirc danh x 13 Quac tich (Nationality) x x 14 Ngay sinh (Date of Birth) x YYMMDD

15 So giacy to lien quan (loci giay to eel gia tri xuat nhap canh) (Doc. No) x

16 Loai giay to (co gia tri xuAt canh/nhap canh) (Document Type) x x

17 Noi cap (Place of issue) x

18 Ngay ha han dm giay to lien quan (Expiration Date of Official Travel Document) x YYMMDD

19 So the hanh lY (lieu co) x 20 So lugng kien hanh 15T (neu co) x 21 Trong lugng hanh ly (neu co) x

22 Cang len tau (Place/Port of Original Embarkation) x x

23 Cang red tau (Place/Port of Debarkation) -x x

5. Thong tin ye 414 chti cua hanh khach (thong tin PNR)

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1

MA PNR (Passenger Name Record Locator): A code which uniquely identifies a reservation for a journey, normally the booking reference or x Ma cuecue xac dinh

thong tin d'cit cho PNR to populate this data element.

2 Ngay fig cha (Date of Reservation) x

3 Ngay bay du kien (Date(s) Of Intended Travel x

4 Ten hanh khach (Passenger Name) x

5 Ten khac (Other Names) Bao gam ten ctia tat ca nhun

hanh khach khac cang dat chg

6 Dia chi (Address(es)) x Dia chi caa kit ca hanh khach

7 Di8n thoai lien h8 (Contact Telephone Numbers) x

Co the bao Om so dien thoai lien he caa hanh khach, dai lf, du lich, khach sail...

8 Dia chi email (Email Address) x Dia chi email caa ngueri dat cho

9 Thong tin li8n h8 chi ti& (Contact Details) x

Ten, dia chi, so dien thoai, dia chi email caa tang ca nhan dat cho

10 Th8ng tin ve thanh town (All Forms Of Payments Information)

x

Nhang thong tin lien quan den thanh town (vi du thong tin t he tin dung). Khong yeu cdu bao Om CSC hoar CVV hoac clOy du so the

11 Dia chi nhan h6a don (Billing Address) Dia chi silt dung de nhan hoa dun

12 ThOng tin ye (Ticketing Field Information) x Bao gOm SO ye

ya logi ye

13 ThOng tin hanh trinh bay (Travel Itinerary) x Hanh trinh caa hanh khach dat chg

14 Thong tin khach hang thtrOng xuyen (Frequent Traveller Information) x

So the, loci the khach hang thuang xuyen ho ac nhang thong tin tuung to

15 Thong tin dai IS, du lich (Travel Agent) x

Ten dai lji, ma dai lf, (theo IATA) hoac so then thoai dai l.)i

16 x Ma xac dinh nguai dat ye (Identity Of Person Who Made The Booking)

Ma xac Binh nguoi/dgi lf, dat ye

17 Md doan (Group Indicator/Code Share) x

Ma theo 'loan trong truemg hop nhom dat chung mat ma girt chg

18 Ma hi'en thi tach dat ch8 (Split/Divided OPI Indicator) x

Sic dung trong truemg hop co hoii mot hanh khach tach viec dat chg tie mat

ma clot clij g(jc do c6 sy• thay doi vd hanh trinh.

19 Sogha yeu call (Seat Requested) Cung ,cap, hung, so she, so cabin (neu co)

20 So gilt d'a da't (Seat Allocated) Cung pap, hung, so she, so cabin (neu co)

21 Th6ng tin va hanh 1ST (Baggage Information)

4 luting kien, tong frong luting, so the,

n

hanh lji, nai den caa hanh lf,, cac thong tin khac (khi check-in)

22 Thong tin ghi cha chung (General Remarks) Cac thong tin bo sung kluic.

23 Thong tin 1)6 sung (OSI Information)

Nang , thong tin 1)6 sung khac nhu tre nho, nhcin vien, khcich VIP...)

24 Thong tin dich vu d4c biet (Special Service Information/Special Service Requests Information)

Arlding thong tin dich vu clac biet hoac yeu cau rieng (SSI/SSIp, khong bao Om cac thong tin ye ton giao, quan diem chinh tri...

25 Cac thong tin API khac (Any Collected API Information)

Cac thong tin API khac thu thap &toy trong qua trinh Or cho hoc lam tin.' tic check in.

26 Chi sal the hien nhom/ca nhan (Group Indicator) x The hien khach nham hay khach le

27 So luting khach (Number Of Travellers)

28 Thong tin lich sir thay dai (All Historical Changes)

Mail bej lich sit qua trinh thay dey dat cho (bao Om ca them, sera, x6a)

6. To' khai chung hang killing (bao gOm ban khai y te): Theo mau so 2, Phu lkic 1 ban hanh kern theo Nghi dinh so 103/2010/ND-CP ngay 01 thang 10 nam 2010 dm Chinh 7. Ban khai kiem dich den vet: Theo mau so 54 Phu lvc ban hanh kern theo Nghi dinh so 58/2017/ND-CP ngay 10 thang 5 nam 2017 dm Chinh

. . luez 8. Ban khai m dich thirc vet: Theo quy dinh hien hanh cfra BO Nong nghiep va Phat trien nong then.

TO' KHAI CHUNG HANG KHONG GENERAL DECLARATION (AIR)

(Outward/Inward)

Ngutei thkrc hien/Operator

Dau odic tich va clang kY/Marks of Nationality and Registration

Chu* bay so/Flight No Ngay/Date

Xuat phat tirlDeparture from: Nai/Place D6n1Arrival at Nai/Place

CHUYEN BAY FLIGHT ROUTING

("Place" column always to list origin every en-route stop and destination)

Nai di, nai den/Place

TONG SO NHAN VIEN TREN MAY

BAY TOTAL OF CREW*

SO LU'QNG HANH KHACH TREN CHUYEN BAY NAY NUMBER OF PASSENGERS ON THIS STAGE "

Nai xuat phatIDeparture Place.

Len tau baylEmbarking•

Cling chuyen baylThrough on same Flight

Nai den/ Arrival Place

Xuong tau baylDisembarking•

Cling chuyen baylThrough on same Flight

KHAI BAO Y Tt DECLARATION OF HEALTH

Nhirng ngirai ten chuyen bay bi orn ma kh6ng phi do say tau bay hay do bi tai nan (g6m nhCrng nguai co trieu chO'ng hay dau hieu: man n,gCra, sot, an lanh, is chey) cling nhu' cac twang hap dau 6m khac de xuong trong chuyen bay/Persons on board with illnesses other than airsickness or the effects or accidents (including persons with symptoms or signs of illness such as rahs, fever, chills, diarrhea) as well as those cases of illness disembarked during the flight

Cac dieu kien khac tren tau bay co the gay lay Ian benhlAny other conditions on board which may lead to the spread of disease

!jet Ice chi tiet cac ben phap diet con triing,,xCr l9 ye sinhyong chuyen bay (die diem, ngay, gia, phuang phap). Neu trong chuyen bay kh6ng thu'c hien cac bien phap diet con trong thi neu chi tiet Ian diet con trong gan day nhat/Detai/s 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

K9 ten (neu &Ivo yeu cL)ISigned, if required

Ngirai Ice khai/Crew member concerned

XAC NHAN GOA CO' QUAN THAM QUYEN/FOR

OFFICIAL USE ONLY

T6i xin cam ket nhOng lai khai trong Ta khai va cac,phy luc dinh kern. To khai nay la chInh xac va dimg sty that, tat a hanh khach se tiep tuc chuyen bay/I declare that all statements and particulars 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.

Chu, 1(9/Signature

Ca quan &Ivo uy quOn hoac thvc hrenlAuthorized agent or pilot in command

* Phai khai bao khi có yeu chu cua quoc gia/To be completed only when required by the State.

** Khong phai khai bao khi CO mat hanh khach va phai khai bao khi yeu calf cOa qu6c gia/Not to be completed when passenger manifests are presented and to be completed only request by the State.

2. Thii tyc d i v(ri tau bay nh4p canh thyc hi§n qua Co' the mot cfra quoc gia - Trinh tir thyc hi§n:

+ Buck 1: * Nguai lam thi , tvc khai bao theo phuang thac dien tir cac thong tin hoac

chang tir thong qua Cong thong tin met cira quoc gia. * Nguai lam tha tic phai nep cac chang tit ban gidy (ban chinh) cho cac ca

quan quan ly nha nuac tai cang hang khong. + Buck 2: Ca quan quan ly nha nuac can ca chac nang nhiem vu theo quy

dinh caa phap luat chin trach nhiem: Tiep nhan, phan 116i viec da tiep nhan doi voi thong tin/chimg • tir cung cap theo phutmg thdc dien tit; tiep nhan doi voi chang tir Op ban giay; kiem tra doi voi chang tit xuat trinh ban giay; xac nhan hoan thanh tha tic doi ved tau bay xuat canh, nhap canh, qua canh. Viec tiep nhan, phan hoi viec tiep nhan va xac nhan hoan thanh tha tic thvc hien to deng thong qua Ging thong tin met cita quec gia cho nguai lam tha tic va cac ben lien quan. - Cfich thin thtrc

+ Khai bao theo phuang thirc dien tit thong qua Cong thong tin met ciza quoc gia;

+ Nep cac chimg tir ban giay (ban chinh) cho cac co quan quan ly nha nuac tai cang hang khong. - Thanh phen, se luting he so':

* Thanh plain hi) sa 1. Nguai lam tha tuc khai bao theo phuang thac dien to cac th8ng tin hoac

chang tir sau thong qua Cong thong tin met dm quoc gia: , a) Ban khai hang hoa nhap khau hang duang hang khong va van don cha

doi voi tau bay nhap canh c6 van chuyen hang h6a nhap khau; b) Thong tin ve van don this cap difii voi tau bay nhap canh c6 van chuyen

hang hoa nhap khau; c) Danh sach hanh khach d6i voi tau bay nhap canh có van chuyen hanh

khach; d) Danh sach to bay; d) Ban lilac khai hanh ly 4 giri cua hanh khach d6i voi tau bay nhap canh

co van chyen hanh ly 4 giri caa hanh khach. Thong tin nay duac khai d'ec lap hoac nam trong Danh sach hanh khach, Danh sach to bay va Thong tin ve (tat chil caa hanh khach (PNR);

e) Thong tin ve chuyen bay (direng bay, se lieu chuyen bay, ten hang hang khong, cira khau, s6 Mang .hanh khach, to bay va thai gian nhap canh);

g) Thong tin ve °tat ch6 caa hanh khach (thong tin PNR). Cac chi tieu thong tin khai bao trong cac chang tit theo phuang thac dien

to tai khoan nay thong qua Cong thong tin met cira quoc gia theo Phu lac ban

hanh kern theo Quyat dinh 43/2017/QD-TTg. 2. ChUng -Ur phai nOp hoac xuat trinh: Ngtrgi lam thil tic phai nOp cac chimg tir ban gidy (ban chinh) sau cho cac

ca quan quan 1ST nha nugc tai cang hang khong: a) To. khai chung hang khong (bao gom khai bao y te) nOp cho to chire

kiem dich y to bien gigi; b) Ban khai kiam dich thgc vat (dai voi hang h6a thuOc dien kiam dich

thgc vat) nOp cho Ca quan kiam dich thuc vat; c) Ban khai kiem dich dOng vat (dai voi hang h6a thuOc dien kiem dich

dOng vat) nOp cho ca quan kiem dich dOng vat; d) Gidy khai bao y to thi the, hai cot, tro cot (neu co) nOp cho to chirc hem

dich y to bien gioi; • d) Gidy khai bao y to mau vi sinh y h9c, san phdm sinh h9c, mo, b16 phan

ca the ngtroi (neu co) nOp cho to chirc Iciem dich y to bien gigi. Ngued lam thU tuc phai xuat trinh cac chung tir ban gidy (ban chinh) sau

cho the ca quan quanbi nha mr6c tai cang hang khong: e) HO chieu hoac gidy to co gia tri di lai quoc t6 va thi thgc cua hanh khach;

hO chieu hoac giay to co gia tri di lai quoc to va thi thvc cua to bay xuat trinh cho Cong an dm lchau;

g) Phieu tiem chUng quoc t6 cua hanh khach (trong trueng hgp xuat phat hoac di qua \ding c6 dich hoac bi nghi ng6 mac benh hoac tac nhan gay benh truyen nhiam ma benh dich do lAt buiac phai tiem chung theo quy dinh tha Bo Y ta) xuat trinh cha to chirc kiam dich y to bien gigi;

h) Tg,khai y t6 (trong truong hop BO Y to thong bao ap dung bien,phap khai bao y to doi voi norgi nhap canh) xuat trinh cho to chirc Iciem dich y to bien gigi.

* /wing hi) se: 01b0 - Thai hq,n giai quyet

+ Doi voi cac chirng tir neu tai lchoan 1 Dieu 5 Quyat dinh 43/2017/QD-TTg: Khong qua 01 gig ka tir khi ngued lam thil tuc khai bao thong tin day du, hgp le va gin' thong tin chung tir dien tir tgi he thong;

+ Dal voi cac chung tir neu tai khoan 2 Dieu 5 Quyet dinh 43/2017/QD-TTg: Ngay khi ngued lam thil tuc nOp, xuat trinh du the giay to hgp le theo quy dinh. - DOi ttryng thirc hienthu tic hanh chinh:

Nguiri lam thu tuc la ca truang hoac ngued dai dien hgp phap tha ngued van tai (hang hang khong hoac dai 1ST hang hang kh8ng), cac to chfrc, ca nhan c6 lien quan thvc hien viec khai bao va lam thil Ale dal voi tau bay xuat canh, nhap canh, qua canh voi cat ca quan quan ly nha nugc tai cang hang khong thong qua Cong thong tin mot cfraquoc gia. Trueog hap-hang hang Ichong-hoae-dai--1Sr hang hang lchOng khong co day dU th8ng tin chi fiat ye van don thir cap thi ngued phat

hanh van don do có trach nhiem tap lap, giri thong tin dien tir chi tiet ve van dan thir cap den C'Ong thong tin mot cua quoc gia. - Co' quan thtyc hien thii tuc hanh chinh:

Cac ca quan quan 1y nha nuac tai cang hang khong bao g&n: Hai quan cua khau, cang vu hang khong, ding an cua khau, ca quan kiem dich ding vat, ca quan kiem dich thvc vat, to chac kiem dich y to bien giai - Ket qua thtyc hien thii tuc hanh chinh:

Ca quan quan 1T nha nuac can dr ch*c nang nhiem vu theo quy dinh cua phap luat chin trach,nhiem: Tiep nhan, phan h8i vi'ec da tiep,nhan doi vai thong tin/chung cung cap theo phuang thirc dien tir; tiep nhan doi vai chirng tir nip ban giay; kiem tra doi ved chung tir xuat trInh ban giay; xac nhan hoan thanh thir tuc doi voi tau bay xuat canh, nhap canh, qua canh.

Vice tiep nhan, phan h8i viec tiep nhan va xac nhan hoan thanh thu tuc dugc thvc hien to ding thong qua Cong thong tin mot cua quoc gia cho nguoi lam thu tuc va cac ben lien quan. - Phi, le phi: Khong co. - Ten matt do'n, matt to, khai

+ Ban khai hang hOa xuat khau, nhap khau bang duarng hang khong theo Phu 1pc ban hanh kern theo Quyet dinh 43/2017/QD-TTg ngay 26/9/2017.

+ Thong tin v'e van don ch*/Van don thu _cap theo Phu 1pc ban hanh kern theo Quyet dinh 43/2017/QD-TTg ngay 26/9/2017.

+ Danh sach hanh khach (Passenger List) theo Phu 1pc ban hanh kern theo Quyet dinh 43/2017/QD-TTg ngay 26/9/2017.

+ Danh sach to lai va nhan vien lam viec ten tau bay theo Php 1pc ban hanh kem theo Quyet dinh 43/2017/QD-TTg ngay 26/9/2017.

+ Th8ng tin ve dat ch6 Giza hanh khach (thong tin PNR) theo Phu 1pc ban hanh kern theo Quyet dinh 43/2017/QD-TTg ngay 26/9/2017.

+ To khai chung hang khong (bao g6m ban khai y ta): Theo mau so"' 2, Phu 1pc 1 ban hanh kern theo Nghi dinh so 103/2010/ND-CP ngay 01 thang 10 nam 2010 dia. Chinh ph*.

+ Ban khai kiem dich ding vat: Theo mau s8 54 Phu 1pc ban hanh kern theo Nghi dinh so 58/2017/ND-CP ngay 10/5/2017 cua Chinh ph*.

+ Ban khai, kiem dich thvc vat: Theo quy dinh hien hanh cua BO Ming nghiep va Phat trien ming thin. - Yeu cAu, dieu kien thtyc hien thu tuc hanh chinh: Khong co. - Can cll. phap 1ST cua thit tuc hanh chinh:

+ Can cu Luat To chirc Chinh ph* ngay 19 thang 6 nam 2015; + Can cir Luat Hai quan ngay 23 thang 6 nam 2014; + Can cu Luat Hang khong dan dung Viet Nam ngay 29 thang 6 nam 2006

va Luat sixa dOi, bo sung mot so clieu cua Luat Hang khOng dan dung Viet Nam ngay 21 thang 11 nam 2014;

+ Can cir Lust Nhap canh, xuat canh, qua canh, cu tru cua nguoi mac ngoai tai Viet Nam ngay 16 thong 6 nam 2014;

+ Can cir Lust Giao dich dien to ngay 29 thong 11 nam 2005; + Can cu Nghi dinh se 08/2015/ND-CP ngay 21 thong 01 nam 2015 cua

Chinh phia quy dinh chi tiet ya bien phap thi hanh Luat Hai quan ye thu tic hai quan, kiem tra, giam sat, kiem scat hai quan;

+ Can cir Nghi dinh 27/2011/ND-CP ngay 09 thong 4 nam 2011 dm Chinh phu quy dinh ve cung cap, khai thac, xu VT, sir ding thong tin ve hanh khach triroc khi nhap canh Viet Nam qua direrng hang 'thong.

+ Can, cir Nghi dinh se 102/2015/ND-CP ngay 20 tiling 10 nam 2015 cua Chinh ye quan 1ST, khai thac cong hang khong, san bay;

+ Can stir Nghi dinh se 103/2010/ND-CP ngay 01 thong 10 nam 2010 cua Chinh phu quy dinh chi tiet thi hanh mot se dien cua LuSt Phong, cheng benh truyen nhiem ye kiem dich y to bien gioi;

+ Can, cir Nghi dinh 136/2007/N1D-CP ngay 17 thong 08 nam 2007 dm Chinh pH_ ye xuat canh, nhap canh cua cong dan Viet Nam;

+ Can cir Nghi dinh se 94/2015/ND-CP ngay 16 thong 10 nam 2015 sfra b;O sung mot so dieu cua Nghi dinh se 136/2007/ND-CP ngay 17 thong 08

nam 2007 ye xuat canh, nhap canh cua cong dan Viet Nam; + Can cir Quyet _dinh 43/2017/QD-TTg ngay 26/9/2017 cua Thu tuotng

Chinh plua quy_dinh trach nhiem thkrc hien thil tuc d6i voi tau bay xuat earth, nhap canh, qua canh thong qua Ca che.mOt cua quec gia.

Phu luc CAC CHI TIEU THONG TIN CtJ' A CAC CHING TO' KHAI BAO THEO PHLTONG THtTC DIEN TO' QUA CONG THONG TIN MOT Ct.TA QUOC GIA (Kern theo Quyjt clinh sa 43/2017/Q1)-77'g

ngay 26 thang 9 nam 2017 ceta TWA twang Chinh phis)

1. Ban khai hang hoa xuat khan, nhlap khan bang duirng hang Wing

;.'ffT- C.,-11i} ff&-i V* ikii iit ri-..*

Ltrf•ia Glif.Clifi

akrk: 4 q ) honglinshling:.;-. ' ''' • :':' - 4,

1 Ma hang chuyen chi (Operator or Carrier Code) x x 2 SO hieu chuyen bay (Flight Number) x

3 Thai gian kh&i halt du kien (Date and Time of Scheduled Departure) x YYMMDD/

HHMM

4 Ma cang/san bay xep hang (Airport Code of Loading) x x

5 S6 Tang 14 tau bay (Aircraft Registration) x 'Tizing4inAlienl-den datiAiOn:,

6 Ma nuon den (ISO Country Code) x x

7 Thai gian den du kien (Date and Time of Scheduled Arrival) x YYMMDD/

HHMM

8 Ma cang/san bay/thanh pile den (Airport/City Code of Arrival) x x

'Thong tin diem Ati• hang (Point of Unloading): ,-,,

9 Ma cang/san bay do hang (Airport Code of Unloading) x x

10 Dinh nghia tau bay khong cha hang boa (Nil Cargo Code?

11 Thai gian den du kien (Date and Time of Scheduled Arrival) x YYMMDD/

HHMM

12 Thai gian di du kien (Date and Time of Scheduled Departure) x YYMMDD/

HHMM , „

, 'Thong- tin van coon: ' Co.therdp 13 SO van don (AWB Number) x

14 Ma san bay/thanh phO not di (dm hang h6a) (Airport/City Code of Origin) x x

15 Ma san bay/thanh phO not den (dm hang h6a) (Airport/City Code of Destination) x x

16 Ma mo to phuong thirc van chuyen (Shipment Description Code) x x

17 SO luting (Number of Pieces) x

18 MO to hang hoa (Manifest Description Nature of Goods) x

19 Ma xirlihang h6a dac bit (Special Handling Code (SHC)) x

20 Dan vi tinh tr9ng higng (Weight Code) x x 21 Trong luting (Weight) x

22 Dan vi tinh kich thuarc (Measurement Unit Code) x x

23 Chieu dai (Length Dimension) x

24 Chieu rOng (Width Dimension) x 25 Chieu cao (Height Dimension) x 26 Se luting kiln (Number of Pieces) x

. V4rdO111111113uiktiK.'':,v ,- ' '' , ' , -, ,

27 So luting kiln (Number of Pieces) x VairdWiAng •

A . 4 ' . *Y11̂, ' 411C 1 . +! iti'

28 Loai ULD (ULD Type) x x 29 S6 ULD (ULD Serial Number) x 30 Ma chi' sCr him ULD (ULD Owner Code) x 31 Vi tri ULD (ULD Loading Locator) 32 Ghi chil ULD (ULD Remark)

. , " xriifiiiiiiii..1 hac:.-; , ,e. 0 V

+.1

33 Ngay tao ban khai hang hoa YYMMDD

2. Thong tin ve van don chtiN4n dun thi? cap

S4'1.. 'J " (OW, (fr&ii, VirkiK, AI, _ilifiqj I ith,1_11.1- mill" ---,-

.

( -,:l i i 1,0 i Cf'

Y.

, t. ow ollorettriaviwifo.ii-,:aiiy Iiii4iii- 1 So van don chi). (Master AWB Number): x

1.- itbliNitilia itie&iiiliaiiklip:titieir4if ita''2hii it )14 WYV/teiii and Destination).;' ifistlirtiii)WPF ''1'•Y13 „,4,..

' 41, , tT

7, Iri

-- „ 1

2 Ma cang/san bay/thanh pho cua not hang di (Airport/City Code of Origin)

x x

3 Ma cang/san bay/thank pho cua nth hang den (Airport/City Code of Destination)

x x

Thong tin chi tilt s6 lwpng tren vein don chei (Quantity Detail): x

4 Ma mo to phucmg thirc van chuyen (Shipment Description Code)

x x

5 So luting (Number of Pieces) x 6 Don vi tinh trong luting (Weight Code) x x 7 Trong luting (Weight) x

,,, ,1

k'TlitiiiertjiiiVraf. n7,.:LAiiii.:5̀ t it? 'elp'-, iiiikeqW„Rliill- eNiettiAt-rwa -.*-. ..!vv t-,- 1.). ,..,:‘,,, , r iSummary,Detads):44 ..Pw.th- r . ' . ,,

ur

iYflyWy

,!, :''..,` ,

M)

e. , :.

- )1 .

kio

. ?

''' 8 SO van don thin cap (HWB Serial Number) x

,,,, ,- ,;:''Y'Aiiii,di/tidi liebiiiitatikfioa:tredWieitaj_1hii V krrile, 4.',Afai.4....h. .L.....4_,I....z W I, ....- .6", jk -,,;'''' "'',1Pvv71 orriF"" cap (House Waybill Origin and.Destinatzon :, ,,.

,,,, , 'X . ,,. MI

. ,

.,,

; ',-, .

5,_.

,

9 Ma cang/san bay/thanh pho not hang di (Airport/City Code (of Departure)) ,

x x

10 Ma cang/san bay/thanh phi) not hang an (Airport/City Code (of Destination))

x x

' -,7•Th'iiirdliii'•-ijiii7 air "Win " dirii'thiF-64k 7a-reidie; ,,....: , .!. ,., , • ,..,.. ,„--. ,,,,, •,-‘A Waybi/PrctasYi • ' 11

- -' ', — ..,, -_, , h

1 , ...p;

7 ", i fv

Se luong hang h6a (Number of Pieces) x 12 Dan vi tinh trong luting (Weight Code) x x 13 Trong luting (Weight) x 14 Dac tinh hang h6a (Nature of Goods) x

15 Ma xir IS, hang hoa dac biet (Special Handling Code (SHC))

x

16 Mo to hang hoa. (Free Text Description of Goods) x

17 ma HS (Harmonised Commodity Code) ,, lliong:.:tin lien, quan On Hai quan (Other

P pms n orma loto .,. ° • , .

18 MA nu& (ISO Country Code) x

19 Thong tin khac (Supplementary Customs Information)

IThozir ifi?,:ngii*E- ii4iCetiOtningiiiri ;gin hang: (Shipper): '1-•,'

'-' , a

20 Ten ngugi van chuyen/nguai giri hang (Name) x

21 Dia chi nguoi van chuyeningued girl hang (Street Address) x

`Ckthong tin 4 vi tri (Location): 21 Dia diem (Place) x 22 Quari/huyen (State/Province) 23 MA qu6c gia (ISO Country Code) x x 24 MA buru dien (Post Code)

Thong tin lien 14 (Contact Detail): 25 S6 dien thoai lien he (Contact Number)

Thong tin'nguiri nh'gn hang (Consignee): 26 Ten ngugi nhan hang (Name) x 27 Dia chi nguoi Man hang (Street Address) x

.ccic thong tin ye vi tri (Location): x • 28 Dia diem (Place) x 29 QuAn/huyen (State/Province) 30 MA nuac (ISO Country Code) x x 31 MA buu dien (Post Code)

Lien he chi tik(CMitact-Detail): 32 S6 dien thoai lien he (Contact Number) x

Thong tin chi phi (Charge Declarations): 33 MA nguyen to (ISO Currency Code) x x

Thong tin xac dinh tra phi triro.c/trii phi sau (Prepaid/Collect Charge Declarations):

xtS

Th6ng 34 tin xac dinh tra phi theo trgng luting tnrac

hay sau (P/C Ind. (Weight/Valuation)) x

35 Th6ng tin xac dinh tra loci phi khac tnrgc hay sau (P/C Ind. (Other Charges))

x

Tri gid van chuy'Jn (Value for Carriage Declaration):

x

36 Thong tin Tri gia khai bao cho 4n chuyen (Declared Value for Carriage or No Value Declared (NVD))

x

Tri gia khai bdo Hiii quan (Value for Customs . Declaration):

x .

37 Thong tin Tri gia khai bao hai quan (Declared Value for Carriage or No Value Declared (NVD))

x

Tri gid khai bdo bdo hiem (Value for Insurance Declaration): x

38 SO tien bao hiem/ Khong c6 phi bao hiem (Amount of Insurance/(No Value (XXX))

x

3. Danh sach hanh khach (Passenger List)

S'''Ialf ail' it_t41 fit& Cy, fiTh Ilif_, Li ttAkt

:'

)11,110 —__ yjA) , A Oi

. i40614 •, Ill'ositelii ciiilirlitii*ViiiiiitrOii:iii:Oiiiii)::4PA

1 Nha khai thac chuyen bay (Operator) x

2 Ma hang hang Ichong va s6 hieu chuyen bay (Airline Code and Flight Number)

x x

3 Thai gian Icheri hanh du kien (Scheduled Local Departure Dates/Times)

x YYMMDD/ HHMM

4 SO dang 14 tau bay (Aircraft Registration) x 5 QuOc tich tau bay (Marks of Nationality) x x 6 Ma. cang/san bay ncri di (Departure from) x x 7 ma cang/san bay nth den (Arrival at) x x

8 Thai gian den du kien (Scheduled Local Arrival Dates/Time)

YYMMDD/ HHMM

9 TOng so hanh khach/phi hanh down (Total Number of Passengers and Number of Crew Members)

x

, F.Tlitititiiii4Ofir' ' iiirlfiliaii ' 'eli!ei-,thei ,,,, ,t:, ;,... . i,--- ° r, r. ,.. 10 Vi tri chi3 ngOi dm hanh khach (Seat) 11 Giai tinh (Gender) x x

12 Ho va ten hanh khach (Surname/Given Name(s)) x

13 QuOc tich (Nationality) x x 14 Ngay sinh dia hanh khach (Date of Birth) x YYMMDD

15 SO giay to lien quan (loai giAy to co gia tri xuat nhap canh) (Doc. No)

x

16 Loai giay to (co gia tri xua't canh/nhap canh) (Document Type) x x

17 Nai cap (Place of issue) x

18 Ngay het han cua giay to lien quan (Expiration Date of Official Travel Document)

x YYMMDD

19 SO the hanh IS, (neu co) x 20 SO lugng kien hanhl(neu c6) x 21 Trong luting hanh 1Si (neu c6) x

22 Cang len tau (Place/Port of Original Embarkation) x x

23 Cang rai tau (Place/Port of Debarkation) x x

4. Danh sach to lai va nhan vien lam viec tren tau bay

_ I , 11Filt r-- ' girl r (flit 1`Akif I 1-4i4 i'lii,

!Tliiili iiii'.eliiiitii biir4Plikhi",infciiiilliiitAiili ":,

litt

,-),

1 Nha khai thac chuyen bay (Operator) x

2 Ma hang hang khong va so hieu chuyen bay (Airline Code and Flight Number) x x

3 Tiled gian khoi hanh du kien (Scheduled Local Departure Dates/Times) x YYMMDD/

HHMM 4 S6 clang 14 tau bay (Aircraft Registration) x 5 Quoc tich tau bay (Marks of Nationality) x x 6 Ma cang/san bay nai di (Departure from) x x 7 Ma cang/san bay not den (Arrival at) x x

8 Thai gian den du kien (Scheduled Local Arrival Dates/Time)

YYMMDD/ HHMM

9 T6ng s6 hanh khach/phi hanh down (Total Number of Passengers and Number of Crew Members)

x

Thoni•tin dtii .voi iittli hanh khfich cu th': .

10 H9 va ten (Surname/Given Name(s)) 11 Gied tinh (Gender) x x 12 Chirc danh x 13 Qu6c tich (Nationality) x x 14 Ngay sinh (Date of Birth) x YYMMDD

15 So gia'y to lien quan (loci giay to. c6 gia tri xuat nnap canh) (Doc. No)

x

16 Loai giAy to (co gia tri xuAt canh/nhap canh) (Document Type) x x

17 Nai cap (Place of issue) x

18 Ngay het han cna giAy to. lien quan (Expiration Date of Official Travel Document)

x YYMMDD

19 S6 the hanh ly (lieu co) x 20 Se luvng kien hanhlY (neu co) x 21 Trong luong hanh ly (neu co) x

22 Cang len tau (Place/Port of Original Embarkation) x x

23 Cang red tau (Place/Port of Debarkation) x x

5. Tilting tin ye dit cho cua hanh khach (thong tin PNR)

,C5(MT- al-ft a#_± aft3 ski- i ,, . gAns it* I TIffra

In To _ UN 01,0

1

ma PNR (Passenger Name Record Locator): A code which uniquely identifies a reservation for a journey, normally the booking reference or PNR to populate this data element.

x Ma tie xac clinh thong tin chat cho

2 Ngay d'at ch8 (Date of Reservation) x

3 Ngay bay du kien (Date(s) Of Intended Travel) x

4 Ten hanh khach (Passenger Name) x

5 Ten khac (Other Names) Bao gam ten ctia

tat ca nhieng

hanh khach kJ:6c cling dat cho

6 Dia chi (Address(es)) x Dia chi cita tat ca hanh khach

7 Dien thoai lien he (Contact Telephone Numbers) x

Co the bao groin so dien thogi lien he dia hanh khach, deli 1), du lich, khach san...

8 Dia chi email (Email Address) x Dia chi email cila nguai dat cho

9 Thong tin lien he chi tiet (Contact Details) x

Ten, dja chi, so dien thogi, dja chi email ceia tUng c6 nhcin dat cho

10 Thong tin ve thanh town (All Forms Of Payments Information) x

.Nhang thong tin lien quan den thanh town (vi du thong tin the tin dyng). Khong yeu cau bao Om CSC hoc CVV hock ddy du so the

11 Dia chi nhan boa don (Billing Address) Dia chi sic dyng de nh an h6a don

12 Thong tin ye (Ticketing Field Information) x Bao gam SO ve va loai ye

13 Thong tin hanh trinh bay (Travel Itinerary) x Hanh trinh cila hanh khach dat cho

14 Thong tin khach hang thlthng xuyen (Frequent Traveller Information) x

SO the, loci the khach hang anteing xuyen ho:dc nhang thong tin twang to

15 Thong tin dal ly du lich (Travel Agent) x

Ten dai lf), ma dal lf) (theo IATA) hoc so dien thogi daily

16 Ma xac dinh nguai dat ye (Identity Of Person Who Made The Booking) x

Ma xac dinh nguai/clai bi dOt ye

17 Ma clown (Group Indicator/Code Share) x

Ma theo down trong &tiling hop nh6m dOt chung mot ma gill. cho

18 Ma hien thi tach dat cho (Split/Divided OPI Indicator) x

Sr dyng trong trmang hap co han mOt hanh khach tach viec dat cho tir mot

ma clot c14 gnc do c6 sy. thay &di v'J hanh trinh.

19 So' ghe yeu cas u (Seat Requested) Cyng p ap, hang, 36 she, so cabin (neu co)

20 So ghe da Tat (Seat Allocated) Cling pap, hang, so she, so cabin (neu co)

21 Thong tin ve hanh lY (Baggage Information) hanh 1Y, not den

SO licang ki*en, tong /rang luang, so the

clic: hanh 1Y, cac thong tin khcic (khi check-in)

22 Thong tin ghi chit chung (General Remarks) Cac thong tin bo sung khac.

23 Th6ng tin b6 sung (OSI Information)

Nhang , thong tin sung khac

bo nhu. tre

nho, nhan vien, khcich VIP...)

24 Thong tin dich vu dac bit (Special Service Information/Special Service Requests

khong bao go

Nhfing thong tin dich vu dac bier ho (lc yeu cau rieng (SSI/SS4

gam cac thong tin ye ton giao, quan diem chinh tri...

25 Cac thong tin API khac (Any Collected API Information)

Ccic thong tin API khac thu Map dugc trong qua trinh slat cho hoac lam thu tyc check in.

26 Chi so the hien nhom/ca. nhan (Group Indicator) x The hien khach nh6m hay khach le

27 S6 hrgng khach (Number Of Travellers)

28 Thong tin lich sir thay d6i (All Historical Changes)

Toan be) lich sir qua trinh _ thay clOi deft cho (bao gam ca them, sfia, xoa)

6. To' khai chung hang khong (bao gam ban khai y te): Theo mau so 2, Phu luc 1 ban hanh kern theo Nghi dinh so 103/2010/ND-CP ngay 01 thang 10 nam 2010 dm Chinh phir. 7. Ban khai kiem dich Ong vat: Theo mau so 54 Phu luc ban hanh kern theo

Nghi dinh so 58/2017/ND-CP ngay 10 thang 5 Irani 2017 dm Chinh 8. Ban khai ki"e'm dich thirc vat: Theo quy Binh hien hanh crla BO NOng nghiep va PHI trien nong than.

M5u s6 54

CONG HOA XA HOI CHU NGHIA VIET NAM DOc 14p - Ty' do - Hanh phitc Socialist Republic of Vietnam

Independence - Freedom - Happiness

BAN KHAI KIEM DICH BONG VAT DECLARATION FOR ANIMAL QUARANTINE

Ten tau:

QuOc tich tau: Name of ship

Flag State of ship

Ten thuyen vien: ......... ...................... Ten hanh khach. Name of crew Name of passengers

Cang rai cuoi ciang: Cang den tiep theo: ........ ..................... ....... Last port of call Next port of call

Ten hang Ong vat va san pham deng vat nhen a cang d'au tien: Animal and animal products loaded at the first port

Ten hang Ong vat va san pharn Ong vat do' & cac cang trung gian va ten cang do: Animal and animal products loaded at the intermediate ports and the name of the ports

Ten hang Ong vat va san phem Ong vat do' er cang nay: Animal and animal products to be discharged at this port

Thuyen triyo'ng cam doan nhOmg dieu khai a tren la dung va chiu trach nhiem chap hanh day du cac quy dinh ye kiem dich Ong vat. The Master guarantees the correctness of the above mentioned declarations and his responsibility for full compliance with the said regulations on animal quarantine.

, ngey thang nam 20 ... Date

Thuyen trulang (Dei Ij hoec sy quan duvc ay quyen) Master (Authorized agent or officer)

TO KHAI CHUNG HANG KHONG GENERAL DECLARATION (AIR)

(Outward/Inward)

Nveri thcrc hien/Operator

Dau quoc tich va Tang kylMarks of Nationality and Registration

Chu* bay so/Flight No Ngay/Date

Xuat phat tirlDeparture from: Nai/Place D6rilArrival at Nai/Place

CHUYEN BAY FLIGHT ROUTING

("Place" column always to list origin every en-route stop and destination)

Nai di, nai den/Place

TONG SO NHAN VIEN TREN MAY

BAY TOTAL OF CREW*

SO LU'QNG HANH KHACH TREN CHUYEN BAY NAY NUMBER OF PASSENGERS ON THIS STAGE **

Nai xuat phatIDeparture Place

Len tau baylEmbarking.

CI:mg chuyen bay/Through on same Flight

Nai den/ Arrival Place'

Xu6ng tau baylDisembarking.

COng chuyen bay/Through on same Flight

KHAI BAO Y TE DECLARATION OF HEALTH

NhOng ngi_rai ton chuyen bay bi om ma khOng ph5i do say tau bay hay do bi tai nan (gOm nhiTrng ngiyai co trieu chimg hay dau hieu: man rip:ra, sot, an lanh, Ta ch5y) cung nhir cac twang hap dau om khac d5 xuOng trong chuyen bay/Persons on board with illnesses other than airsickness or the effects or accidents (including persons with symptoms or signs of illness such as rahs, fever, chills, diarrhea) as well as those cases of illness disembarked during the flight

Cac diet.] kien khac tren tau bay ca the gay lay Ian benhlAny other conditions on board which may lead to the spread of disease

[jet ke chi tiet cac !Dien phap diet con trung,,x& ly ye sink trong chuyen bay (dia diem, ngay, gia, phiyang phap). Neu trong chuyen bay khong thu'c hien cac bien phap diet con trung thi neu chi tiet Ian diet con trOng gan day nhatiDetails 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

Ky ten (n5u duvc yeu cau)ISigned, if required

NgLrai ke khai/Crew member concerned

XAC NHAN CUA CO' QUAN THAM QUYEN/FOR

OFFICIAL USE ONLY

Toi xin cam ket nhumg lai khai trong Ta khai va cac prici 11,IC Binh kern. To' khai nay la chinh xac va dCing su' that, tat ca hanh khach se tiep ttric chuyen bay// declare that all statements and particulars 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.

Chu' qlSignature

Ca quan duvc Cly quyen hoac thyc hienlAuthotized agent or pilot in command

* Phai khai bao khi c6 yeu cau cua quoc gia/To be completed only when required by the State.

** Kh6ng phi khai bao khi c6 mat hanh khach va phai khai bao khi yeu ceu caa quoc gialNot to be completed when passenger manifests are presented and to be completed only request by the State.

3. Thu tic doi viri tau bay qui canh thyc hien qua Cu the met cfra quoc gia - Trinh ti thyc hien:

+ Buov 1: * Nguoi lam thil,tvc khai bao theo phuong thirc din cac thong tin hoac

chimg tir thong qua Cong thong tin mot cua quirk gia. * Nguoi lam thil Arc phai n8p cac chirng tir ban giay (ban chinh) cho cac co.

quan quan 1ST nha nuac tai cang hang khong. + Bulk 2: Ca quan quan 1ST nha nuoc can dr chirc nang nhim vu theo quy

dinh cua phap luat chin trach Tiep nhan, phan hoi vies da tiep nhan doi vol thong tin/chimg tir cung cap theo phuong thirc dien tu; tiep nhan doi vai chung tir Op ban giay; kiem tra doi vai chimg tix xuat trinh ban giay; xac Man hoan thanh thu tijc doi voi tau bay xuat canh, nhap canh, qua canh. Viec tiep nhan, phan hoi viec tiep nhan va xac nhan hoan thanh thu Ale thgc hien to dOng thong qua Cong thong tin mot cira quoc gia cho ngueli lam thir tic va cac ben lien quan. - Cich that thirc hien:

+ Khai bao theo phuong -auk dien tir thong qua C6ng thong tin mot cua qu8c gia;

+ N8p cac chirng tir ban giay (ban chinh) cho cac ca quan quan 1ST nha nubs tai cang hang khong. - Thanh phAn, so ltryng ho so':

* Thanh phan ho sa + Khi tau bay nhap canh thi thanh phan ho sa thuc hien theo quy dinh tai

Dieu 5 Quy6t dinh 43/2017/QD-TTg. + Khi tau bay xuat canh n'au có su thay d6i ve cac chimg to khi nhap canh

thi thuc hien theo quy dinh tai Dieu 4 Quyet dinh 43/2017/QD-TTg. * So hivng ha so.: 01 be? - Thai hin giai -quyet + Doi vbi cac chimg tir khai bao theo phuong Mire dien tir qua C6ng thong

tin mot cua quoc gia: Khong qua 01 gia k'ek ti khi ngueri lam thd tvc khai bao thong tin day du, hop le va giri thong tin chimg tir dien tir tad he thong;

+ Doi vii cac chimg tir phai n8p hoac xuat trinh: Ngay khi ngued lam thii tvc n8p, xuat trinh du cac giay to hop le theo quy dinh. - DCA ttryng thyc hien thu tic hanh chinh: •

Nguoi lam thil tic la ca truong hoac nguiri dai din hop phap cua nguoi van tai (hang hang khong hoac dai 1ST hang hang khong), cac to chirc, ca nhan có lien quan thuc hien viec khai bao va lam thii tic doi vai tau bay xuat canh, nhap canh, qua canh vbi cac co quan quan 1ST nha nuoy tai cang hang khong thong qua Cong thong tin mot cua quoc gia.Truong hop hang hang khong hoac dai 1ST hang hang 'thong khong có day du thong tin chi tiet ve van don thin cap thi nsued phat hanh van don do co trach nhiem tao lap, giri thong tin din tir chi tiet ve van don thir cap den Cong thong tin mot cua qu8c gia.

- quan thirc hien thin tic hanh chinh: Cac co quan quan 1Sr nha mrac tai cang hang khong bao gOm: Hai quan cfra

khan, cang vi hang khong, cong an cfra khan, co quan kiem dich Ong vat, co quan kiem dich thuc vat, to chirc kit'm dich y to bien gioi - Ket qua thyc hien thii tic hanh chinh:

Co quan quan 15/ nha nuerc can cu chirc nang nhiem virr theo quy dinh cua phap luSt chiu trach,nhiem: Tiep nhan, phan hOi viec da tiep,nhan doi voi thong tin/chimg cung cap theo phucmg thuc dien dr; tiep than doi voi chimg ban giay; kitm tra doi voi chimg tir xuat trinh ban giay; xac nhan hoan thanh thir Arc doi voi tau bay xuat canh, nhap canh, qua canh.

Viec tip nhan, phan hoi viec tip nhan va xac nhSn hoan thanh thir tic dugc thuc hien to dOng thong qua Cong thong tin mot cfra quoc gia cho ngued lam thir Arc va cac ben lien quan. - Phi, le phi: Khong có. - Ten mail don, mau to' khai:

+ Ban khai hang hea xuat khan, nhSp khau bang dueng hang kh8ng theo Phu lvc ban hanh kern theo Quytt dinh 43/2017/QD-TTg ngay 26/9/2017.

+ Thong tin vt van don chi:I/Van don thir cap theo Phkr 11,1c ban hanh kern theo Quytt dinh 43/2017/QD-TTg ngay 26/9/2017.

+ Danh sach hanh khach (Passenger List) theo Phi lkic ban hanh kern theo Quytt dinh 43/2017/QD-TTg ngay 26/9/2017.

+ Danh sach to lai va nhan vien lam viec ten tau bay theo Phi hie ban hanh kern theo Quytt dinh 43/2017/QD-TTg ngay 26/9/2017.

+ Thong tin vt dat cht; cua hanh khach (thong tin PNR) theo Phij lvc ban hanh kern theo Quytt dinh 43/2017/QD-TTg ngay 26/9/2017.

+ To khai chung hang khong (bao gom ban khai y ti): Theo mau so 2, Phu lkic 1 ban hanh kern theo Nghl dinh so 103/2010/ND-CP ngay 01 thang 10 nam 2010 dm Chinh phir. - Yeu cau, then kien thyc hien thu tic hanh chinh: Khong co. - Can cu. phap 15r cua thii tic hanh chinh:

+ Can cu Luat To chirc Chinh phu ngay 19 thang 6 nam 2015; + Can dr Luat Hai quan ngay 23 thang 6 nam 2014; + Can dr Lust Hang khong dan ding Viet Nam ngay 29 thang 6 nam 2006

va Luat sira &A, botv sung met so ditu crla Luat Hang khong dan ding Viet Nam ngay 21 thang 11 nam 2014;

+ Can cir Luat Nhap canh, xuat canh, qua canh, cu tra cua ngued nuck ngoai tai Viet Nam ngay 16 thang 6 nam 2014;

+ Can dr Luat Giao dich dien tir ngay 29 thang 11 nam 2005; + Can dr Nghi dinh se; 08/2015/ND-CP ngay 21 thang 01 nam 2015 dia.

Chinh phu quy dinh chi tiet va bien phap thi hanh Luat Hai quan ve thir tic hai quan, kiem tra, giam sat, kitm soat hai quan;

+ Can cir Nghi dinh 27/2011/ND-CP ngay 09 thang 4 nam 2011 oh Chinh phu quy dinh ye cung cap, khai thac, xir 1S7, sir dung thong tin ye hanh khach tnrac khi nhap canh Viet Nam qua citriyng hang khong.

+ Can, cir Nghi dinh so 102/2015/ND-CP ngay 20 thang 10 nam 2015 ciaa Chinh ye quan 1ST, khai thac cang hang khong, san bay;

+ Can cir Nghi dinh so 103/2010/ND-CP ngay 01 thang 10 nam 2010 cila Chinh phu guy., dinh chi tiet thi hanh mot so dieu cua Ludt Phong, chOng benh truyen nhiem ye kiem dich y to bien gioi;

+ Can cir Nghi dinh so 136/2007/ND-CP ngay 17 thang 08 nam 2007 dm Chinh phir ye xuat canh, nhap canh cua cong dan Viet Nam;

+ Can cir Nghi dinh s6 94/2015/ND-CP ngay 16 thang 10 nam 2015 sira dOi, be sung mot so dieu cua Nghi dinh so 136/2007/ND-CP ngay 17 thang 08 nam 2007 ye xuat canh, nhap canh cua cong dan Viet Nam;

+ Can cir Quyet dinh 43/2017/QD-TTg ngay 26/9/2017 ad Thu tuong Chinh phu quy dinh trach nhiem,thIrre hien thu t-cic doi yai tau bay xuat canh, nhap canh, qua canh thong qua Co the mot cira quoc gia.

Phq lyc CAC CHI TIEU THONG TIN CUA CAC CHI:rNG TT KHAI BAO THEO PHUC)NG THUG DIEN TO. QUA CONG THONG TIN MOT CUA QUOC GIA (Kern theo Quyet dinh so 43/2017/QD-TTg

ngay 26 thong 9 nom 2017 cia Thu twang Chinh phi)

1. Ban khai hang hoa xuat khan, nh4p khan bang dffirng hang khong

-'1.17 @fg i_tI (1.*--itp, f tfil .. .

:II61 110,G,

0:0 ifti av GhVaiii

Thong'tbithung:.- -,. 1 Ma hang chuyen eh& (Operator or Carrier Code) x x 2 Se hieu chuyen bay (Flight Number) x

3 Thai gian Uteri hanh du kien (Date and Time of Scheduled Departure) x

YYMMDD/ HHMM

4 Ma cang/san bay xep hang (Airport Code of Loading) x x

5 Se clang kjr tau bay (Aircraft Registration) x N.

iflifinitintdiea den dau tien:-0:-. --::

6 ma mac den (ISO Country Code) x x

7 Thai gian den du kien (Date and Time of Scheduled Arrival) x

YYMMDD/ HHMM

8 Ma cang/san bay/tharth pile den (Airport/City Code of Arrival) x x

'Thong tin:Amin-do hang (Point of n oa ing). - ' " '

9 ma cang/san bay do' hang (Airport Code of Unloading) x x

10 Dinh nghia tau bay Ichong cha hang h6a (Nil Cargo Code)

11 Thai gian den du kien (Date and Time of Scheduled Arrival)

x YYMMDD/ HHMM

12 Thai gian di du kien (Date and Time of Scheduled Departure) . .

x YYMMDD/ HHMM

Thong tin van an: Co the lop 13 Si van don (AWB Number) x

14 ma san bay/thanh pile nai di (dm hang hoa) (Airport/City Code of Origin)

x x

15 Ma san bay/thanh pile nai den (dm hang Ma) (Airport/City Code of Destination)

x x

16 x ma ma to phuong thirc van chuyen (Shipment Description Code)

x

17 Se Wong (Number of Pieces) x

18 Me to hang h6a (Manifest Description Nature of Goods)

x

19 Ma xit ljr hang h6a dac bit (Special Handling Code (SHC))

x

20 Don vi tinh tr9ng lugng (Weight Code) x x 21 Tr9ng luong (Weight) x

22 Dan vi tinh kich thuac (Measurement Unit Code)

x x

23 Chieu dai (Length Dimension) x

24 Chiu rOng (Width Dimension) x 25 Chieu cao (Height Dimension) x 26 S6 luting hen (Number of Pieces) x

Vntdin3:aki 1Zi,4,., ,: - cM P : 27 S6 luting kien (Number of Pieces) x

n Aforialir ' • .7 , C .r ,t. _ rri, '4 iii .

28 Loqi ULD (ULD Type) x x

29 SO ULD (ULD Serial Number) x 30 Ma chn sO him ULD (ULD Owner Code) x 31 Vi tri ULD (ULD Loading Locator) 32 Ghi chi ULD (ULD Remark)

' „t„ illi011vtulith-ac: , • . , ,:.,,. ' • ' .

le . ) . 'f.

33 Ngay tiln ban khai hang h6a YYMMDD

2. Thong tin ve Ain don chii/V4n don thin cap

b_‘'Irr

,14*24,

- i (flh`jirtC,01 11 iiififl: iirt! __ !

,

ttitirethitilittdiliVcilici'Wei'4111 ":,r..:

? .!1i ilik14.,„

i,-,_1110-10.

1 SO van don chit (Master AWB Number): x ~zz-,+x,k ,

.

,,,,-,,,,,,,,„;,,,,700:,,,,,:q.1 p44,- 4„,,,,, J.:eateV t.,.; !... ' ,r4.itivtl kr, Ari. '43tern)dviwtdencualang hoa,tren;ygndow:thz#

low tc,,cirwm.ana,vestinauon):,,,, -,-. 4:1,!& ex' , ,,,

..

. v 41

, , , , ...,

2 Ma eang/san bay/thanh pho ciia not hang di (Airport/City Code of Origin) x x

3 Ma cang/san bay/thanh pho cua not hang den (Airport/City Code of Destination) x x

Thong tin chi tiet so luting tren van dolt chfi (Quantity Detail):

x

4 Ma mo to phuang thile van chuyen (Shipment Description Code) x x

5 S6 luting (Number of Pieces) x 6 Don vi tinh tr9ng luting (Weight Code) x x 7 Tr9ng lircmg (Weight) x , i

.P 1

qiitentinItiiiiiTdOil',thiFedfi' difie:'WO hil ;Summaiy.Details):'- , , ' "„ - ",17,4;,...1.:

.

t ': , .

lisr..A; '

8 SO van don thir cap (HWB Serial Number) x -:.'4-'1 ..glY edihailan:Cilii hang kaii tien'•ietn(hin theca'

,,-.7,,-,,--.6.,vvi !!- -. ,w "-..-!!!!'..4 ,44OV!!4;,,..".. ,l cap..(House!!Waybill Ongur and Destination):X , ' - 4 '

' -. '

9 Ma cang/san bay/thanh pho nai hang di (Airport/City Code (of Departure)) , x x

10 Ma' cang/san bay/thanh pho not hang an (Airport/City Code (of Destination)) x x

— • .111 ,,,,

Thong!-Xiiitqut4teniefqiiritrilil ii Ar (Houses ehe-o'' Vieete,"‘ ‘94 F, e- ' "' qWitybIllTotals)::,,Kw" '

, , NI ... .

•

,..4. .. ..11.1 -..tt

,.' A. ' "T. g.

4 ' 11 SO luting hang h6a (Number of Pieces) x 12 Dan vi tinh tr9ng living (Weight Code) x x 13 Trong luting (Weight) x 14 Ddc tinh hang hoa (Nature of Goods) x

15 Ma xir ly hang h6a dac bit (Special Handling Code (SHC)) x

16 MO to hang has (Free Text Description of Goods)

x

17 MA HS (Harmonised Commodity Code) Thong tin fienquan4lenHai quan (99c!", CtistOniSInforniatiOnel' - ,.,' :(?'.!.f-`0:Vk

., ‘ L„

18 ma nugc (ISO Country Code) x

19 Thong tin khac (Supplementary Customs Information) iTheig:, tilif,i**ri van ,`clinken/nigOi gin hang , (Shipper)i-- - . • ' - - ' ,

- '-

.,. ...

20 Ten ngtroi van chuyeninguoi giri hang (Name) x

21 Dia chi ngugi van chuyeninguati giri hang (Street Address)

x

- Clic thong tin v'd.vi tri (Location): -., • 21 Dia diem (Place) x

22 Quan/huyen (State/Province)

23 MA quec gia (ISO Country Code) x x 24 ma buu dien (Post Code)

Thong tin lien h? (Contact Detail): 25 S6 dien thoai lien he (Contact Number)

Thong•tiiinguiri nhan hang (COnsignee): ,

26 Ten ngtrgi nhan hang (Name) x

27 Dia chi ngtrgi nhan hang (Street Address) x

Cele thong tin ve vi tri (Location): • x 28 Dia di&-n (Place) x 29 Quan/huyen (State/Province) 30 MA nuac (ISO Country Code) x x 31 MA buu dien (Post Code)

Lien he chi tilt (Contact Detail): 32 So dien thoai lien he (Contact Number) x

Thong tin chi phi (Charge Declarations): 33 MA nguyen to (ISO Currency Code) x x

Thong tin xac dinh tra phi 0-U.6'c/fru phi sau ' • . x (Prepaid/Collect Charge Declarations): '. :

,,. , . .,,,,,

34 Thong tin xac dinh tra phi theo trong luting trugc hay sau (P/C hid. (Weight/Valuation))

x

35 Thong tin xac dinh tra loci phi khac truac hay sau (P/C Ind. (Other Charges))

x

Tri gia .van chuye'n (Value for Carriage Declaration): x

36 Thong tin Tri gia khai bao cho van chuyen (Declared Value for Carriage or No Value Declared (NVD))

x

Tri gici khai bdo Hai quan (Value for Customs Declaration): x

37 Thong tin Tri gia khai bao hai quan (Declared Value for Carriage or No Value Declared (NVD))

x

Tri gici khai bao Ho hiem (Value for Insurance Declaration): x

38 So ten bao hiem/ Khong co phi bao hiem (Amount of Insurance/(No Value (XXX))

x

3. Danh sach hanh khich (Passenger List)

,1 1' Q-11', i_t iiigiil, 6:I.J._ _ i, Litr_qc-- 11f11-11i ,lici.,4, 1 (,,1 1 f ("17L

eillentrirchVeilVORF,lirOt trio riii atria '''

1 Nha khai thac chuyien bay (Operator) x

2 Ma hang hang khong va so hieu chuyen bay (Airline Code and Flight Number)

x x

3 Thoi gian kheri hanh du ki8n (Scheduled Local Departure Dates/Times)

x YYMMDD/ HHMM

4 SO dang k5( tau bay (Aircraft Registration) x 5 Qu6c tich tau bay (Marks of Nationality) x x 6 Ma cang/san bay not di (Departure from) x x 7 Ma cang/san bay not den (Arrival at) x x

8 Thai gian den du kien (Scheduled Local Arrival Dates/Time)

YYMMDD/ HHMM

9 TOng so hanh khdch/phi hanh down (Total Number of Passengers and Number of Crew Members)

x

." triitiriffAitoillo'fingi'lialiiiildircleCii e'*- ° , ' - Ari -fig‘V 10 VI tri chi3 ngai dm hanh khach (Seat) 11 Giari tinh (Gender) x x

12 H9 va ten hanh khach (Surname/Given Name(s)) x

13 QuOc tich (Nationality) x x 14 -Ngay sinh cda hanh khach (Date of Birth) x YYMMDD

15 SO giay to lien quan (loci gidy to co gid tri xudt nhap canh) (Doc. No)

x

16 Loai gidy to (co gia tri xudt canh/nhap canh) (Document Type) x x

17 Nori cap (Place of issue) x

18 Ngay het hqn cda giay to lien quan (Expiration Date of Official Travel Document)

x YYMMDD

19 So the hanh 15( (neu co) x 20 SO Itryng kin hanh 15( (neu co) x 21 Tr9nglu9ng hanh 15( (neu co) x

22 Cang len tau (Place/Port of Original Embarkation) x x

23 Cang reri tau (Place/Port of Debarkation) x x

4. Danh sich to lai va nhfin vien lam viec tren tau bay

gfrif (c24 , ci-_ witrit-. (th-,

Ohl tin'Chuireii bay„(FlightinforiiiatiOn):

lit t. it kii Ot

1 1 , I

14. 1 1

nu(orkt

1 Nha khai thac chuyen bay (Operator) x

2 Ma hang hang khong va so hieu chuyen bay (Airline Code and Flight Number) x x

3 ThOi gian khoi hanh dv kien (Scheduled Local Departure Dates/Times) x YYMMDD/

HHMM 4 S6 dang k9 tau bay (Aircraft Registration) x 5 Qu6c tjch tau bay (Marks of Nationality) x x 6 Ma cang/san bay nai di (Departure from) x x 7 Ma cang/san bay noi den (Arrival at) x x

8 Thai gian den d‘r kien (Scheduled Local Arrival Dates/Time)

YYMMDD/ HHMM

9 TOng s6 hanh khach/phi hanh down (Total Number of Passengers and Number of Crew Members)

x

Thong tin Atii•voi nu% Unit khfich`cn,the: 10 Ho va ten (Surname/Given Name(s)) 11 Giai tinh (Gender) x x 12 Chirc danh x 13 Quec tjch (Nationality) x x 14 Ngay sinh (Date of Birth) x YYMMDD

15 SO gia'y to lien quan (loci giay to c6 gia tri xuat nhap canh) (Doc. No)

x

16 Loai giAy tä (c6 gia VI xuat canh/nhap canh) (Document Type) x x

17 Nai cap (Place of issue) x

18 Ngay het han dm giay to lien quan (Expiration Date of Official Travel Document)

x YYMMDD

19 SO the hanh 19 (neu co) x 20 SO luting kien hanh 19 (nett co) x 21 Trong luting hanh 19 (neu co) x

22 Cang len tau (Place/Port of Original Embarkation) x x

23 Cang reri tau (Place/Port of Debarkation) x x

5. Thong tin ye d4t dig cua hanh khich (thong tin PNR)

i Call 1- . i Et i . firm -'---- .1 , FLIM11. ' avg QThil c4itt

1

1

ma PNR (Passenger Name Record Locator): A code which uniquely identifies a reservation for a journey, normally the booking reference or PNR to •o •ulate this data element.

x MMacle xcic clinh thong tin cicra cho

2 Ngay dat ch8 (Date of Reservation) x

3 Ngay bay dv kien (Date(s) Of Intended Travel x

4 Ten hanh khach (Passenger Name) x

5 Ten khac (Other Names) Bao goin ten clia tat ca nhirn

hanh khach khac cimg ddt chd"

6 Dia chi (Address(es)) x Dia chi ci1a tat ca hanh khach ,

7 Dien thoai lien N (Contact Telephone Numbers) x

Co the bao gom so dien thogi lien he cita hanh khach, dgi U du lich, khach san...

8 Dia chi email (Email Address) x Dia chi email au: ngtroi dcit cho

9 Thong tin lien he chi tiet (Contact Details) x

Ten, dia chi, so dien thogi, dia chi email cita ding CO nhan clot cho

10 Thong tin ve thanh town (All Forms Of Payments Information) x

1Vhang thong tin lien quan den thanh tocin (vi du thong tin the tin dung). Khong yeu cau bao gam CSC hale CVV hodc cldy ail so the

11 Dia chi nhan h6a dan-(Billing Address) Dja chi sit clung de nhdn h6a dun

12 Thong tin ye (Ticketing Field Information) x Bao gdm Sd ye va loai ye

13 Thong tin hanh trinh bay (Travel Itinerary) x Hanh trinh cita hanh khach cldt chd'

14 mong xuyen (Frequent Thong tin khach hang a Traveller Information) x

SO the, logi the khach hang thuemg xuyen hoc nhang thong tin twang to

15 Thong tin dai 15r du lich (Travel Agent) x

Ten dgi if, ma ciai bi (theo IATA) hodc so dien thogi dai l)

16 Ma xac dinh ngueri 41 ye (Identity Of Person Who Made The Booking) x

Ma xac clink ngtreti/clgi lii deg ye

17 Md down (Group Indicator/Code Share) x

Ma theo Joan trong truemg hop nhom GP chung mot ma gilt chd

18 Ma hien thi tach dat cho (Split/Divided OPI Indicator) x

Sit dung trong truemg hop c6 hart mOt hanh khach tach yiec ddt did tir mot

ma Of clia gac do có sir thay dai ve hanh trinh.

19 SO ghe yeu cau (Seat Requested) Cyng cap, hang, so she, so cabin (neu co)

20 S6 gh6 da dat (Seat Allocated) Cyng pap, hang, so she, so cabin (neu co)

21 Thong tin 1,4 hanh 13? (Baggage Information)

SO luting kien, tong trong luting, so the hanh lii, not den caa hanh lji, cac thong tin khac (khi check-in)

22 Thong tin ghi chit chung (General Remarks) Cac thong tin bo sung khac.

23 Thong tin b6 sung (OSI Information)

IVhieng , thong tin bo sung khac nhu• tre nho, nhan vien, khcich VIP...)

24 Thong tin dich vu dac bit (Special Service Information/Special Service Requests Information)

NH:mg thong tin dich vu dac biet hoac y'eu cau rieng (SSI/SSR), khong bao goru cow thong tin ye ton giao, quan diem chinh tri...

25 Cac thong tin API khac (Any Collected API Information)

' Cac thong tin

API khac thu thap cluoc trong qua trinh dat chef, hoac lam thu tuc check in.

26 Chi s6 th6 hien nhom/ca nhan (Group Indicator) x The hien khach nhom hay khach le

27 S6 luting khach (Number Of Travellers)

28 Thong tin lich sir thay ai (All Historical Changes)

Toan bo lich six qua trink, thay dO:i dat cho (bao g Om ca them, sixa, xoa)

6. To' khai chung hang khong (bao gom ban khai y te): Theo mau so 2, Phu luc 1 ban hanh kern theo Nghi dinh so 103/2010/ND-CP ngay 01 thang 10 nam 2010 ciaa Chinh 7. Ban khai kiem dich dOng vat: Theo m1.1 so 54 Phu hie ban hanh kern theo

Nghi dinh so 58/2017/ND-CP ngay 10 thang 5 nam 2017 cria Chinh phia. 8. Ban khai kiem dich thut vat: Theo quy Binh hie‘n hanh cua BO Nong nghie.p va PhaI trien nong thon.

TO KHAI CHUNG HANG KHONG GENERAL DECLARATION (AIR)

(Outward/Inward)

Ngt.rai thy'c hien/Operator

Dau quoc tjch va clang kylMarks of Nationality and Registration

Chu* bay sOlFlight No Ngay/Date

Xuat phat tirlDeparture from: Nai/Place Den/Arrival at NailPlace

CHUYEN BAY FLIGHT ROUTING

("Place" column always to list origin every en-route stop and destination)

Nai di, nai den/Place

TONG SO NHAN VIEN TREN MAY

BAY TOTAL OF CREW*

S6 LU'gNG HANH KHACH TREN CHUYEN BAY NAY NUMBER OF PASSENGERS ON THIS STAGE **

Nai xuat phat/Departure Place

Len tau baylEmbarking•

Cling chuyen baylThrough on same Flight

Nai den/ Arrival Place•

Xuong tau baylDisembarking•

Cling chuyen bay/Through on same Flight

KHAI BAO Y TE DECLARATION OF HEALTH

Nhirrig ngu,ai ten chuyen bay bi om ma khong phal do say tau bay hay do bi tai nan (Om nhOng nguai co trieu chOng hay dau hieu: man npiya, sot, an lanh, is chay) cling nhu, cac trtyang hap dau 6m khac da xu6ng trong chuyen bay/Persons on board with illnesses other than airsickness or the effects or accidents (including persons with symptoms or signs of illness such as rahs, fever, chills, diarrhea) as well as those cases of illness disembarked during the flight

Cac dieu kien khac tren tau bay co the gay lay Ian benh/Any other conditions on board which may lead to the spread of disease

Liet k8 chi tiet cac bien phap diet con trung,,XCP 19 ye sink trong chuyen bay (dia diem, ngay, gia, phtyang phap). Neu trong chuyen bay khong thtyc hien cac bien phap diet can trung thi neu chi tret Ian diet con trung On day nhatIDetails 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

Ky ten (net.] cityac yeu ck)ISigned, if required

Ngu,ai Ice khai/Crew member concerned

XAC NHAN COA CO' QUAN THAM QUYEN/FOR

OFFICIAL USE ONLY

Toi xin cam ket nhOng 161 khai trong To khai ye cac,phy luc dInh kern. khai nay la chinh xac va dung su' that, tat ca hanh khach se top tuc chuyen bay// declare that all statements and particulars 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.

C ha, ky/Signature

Ca quan dugc uy quyen hoac thvc hiOnlAuthorized agent or pilot in command

* PhAi khai bao khi CO yeu ceu cua qui5c gialTo be completed only when required by the State.

** Khong phai khai bao khi co mat hanh khach va phAi khai bao khi yOu ceu cue quoc gia/Not to be completed when passenger manifests are presented and to be completed only request by the State.