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Date (ETD) Date Date Arrival (ETA)<br />

14 Date of Flight<br />

For applicants only<br />

Ref. No.________________________<br />

Signature and stamp __________________<br />

Date_____________________<br />

For MFA purpose only<br />

Flight permission number: ___________________________Signature and stamp ____________<br />

Ref. No. _____________________<br />

Date _____________________<br />

CC: Civil Aviation Authority<br />

Ministry of National Defense<br />

National Intelligence and Security Service<br />

REMARK. Hazardous or Dangerous Cargo Description Must be Annexed to This Request<br />

35 | P age

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