3 minute read Name and Surname Air Malta Booking Reference Email Address Mobile number Flight Number –None– KM100 KM101 KM102 KM103 KM106 KM107 KM116 KM117 KM146 KM147 KM174 KM175 KM238 KM239 KM306 KM307 KM308 KM309 KM324 KM325 KM328 KM329 KM352 KM353 KM358 KM359 KM368 KM369 KM376 KM377 KM386 KM387 KM394 KM395 KM420 KM421 KM422 KM423 KM436 KM437 KM454 KM455 KM466 KM467 KM476 KM477 KM478 KM479 KM482 KM483 KM490 KM491 KM508 KM509 KM512 KM513 KM514 KM515 KM538 KM539 KM560 KM561 KM568 KM569 KM574 KM575 KM580 KM581 KM590 KM591 KM594 KM595 KM612 KM613 KM614 KM615 KM624 KM625 KM626 KM627 KM638 KM639 KM643 KM640 KM641 KM642 KM646 KM647 KM648 KM649 KM650 KM651 KM658 KM659 KM662 KM663 KM668 KM669 KM684 KM685 KM710 KM711 KM724 KM725 KM826 KM827 KM828 KM829 KM2107 KM2108 KM2120 KM2121 KM2122 KM2123 KM2126 KM2127 KM2128 KM2129 KM2130 KM2131 KM2132 KM2133 KM2134 KM2136 KM2137 KM2138 KM2139 KM2142 KM2143 KM2144 KM2145 KM2146 KM2147 KM2148 KM2149 KM2150 KM2151 KM2152 KM2153 KM2155 KM2156 KM2157 KM2158 KM2160 KM2196 KM2197 KM2198 KM2199 KM2200 KM2201 KM2202 KM2203 KM2204 KM2205 KM2206 KM2207 KM2208 KM2209 KM2210 KM2211 KM2212 KM2213 KM2214 KM2215 KM2216 KM2217 KM2218 KM2221 KM2222 KM2224 KM2227 KM2228 KM2229 KM2231 KM2232 KM2233 KM2234 KM2236 KM2238 KM2240 KM2242 KM2243 KM2244 KM2245 KM2246 KM2250 KM2251 KM2261 KM2274 KM2275 KM2282 KM2283 KM2316 KM2317 KM2318 KM2319 KM2320 KM2321 KM2322 KM2323 KM2348 KM2349 KM2350 KM2351 KM2367 KM2370 KM2372 KM2391 KM2392 KM2393 KM2394 KM2490 KM2491 KM2500 KM2501 KM2503 KM2504 KM2506 KM2507 KM2509 KM2510 KM2511 KM2513 KM2514 KM2515 KM2516 KM2517 KM2518 KM2519 KM2520 KM2521 KM2522 KM2523 KM2524 KM2525 KM2526 KM2527 KM2529 KM2530 KM2531 KM2533 KM2534 KM2535 KM2537 KM2539 KM2540 KM2541 KM2542 KM2543 KM2545 KM2549 KM2550 KM2551 KM2552 KM2554 KM2555 KM2556 KM2557 KM2558 KM2559 KM2560 KM2561 KM2562 KM2563 KM2564 KM2565 KM2566 KM2567 KM2568 KM2569 KM2570 KM2571 KM2572 KM2573 KM2601 KM2602 KM2603 KM2605 KM2607 KM2608 KM2609 KM2612 KM2613 KM2614 KM2615 KM2616 KM2617 KM2628 KM2629 KM2630 KM2631 KM2634 KM2635 KM2636 KM2637 KM2651 KM2652 KM2654 KM2655 KM2656 KM2657 KM2658 KM2659 KM2660 KM2661 KM2662 KM2663 KM2666 KM2667 KM2669 KM2670 KM2698 KM2699 KM2700 KM2701 KM2702 KM2703 KM2800 KM2801 KM2802 KM2803 KM2804 KM2805 KM2806 KM2807 KM2810 KM2811 KM2830 KM2831 KM2847 KM2848 KM2850 KM2851 KM2852 KM2853 KM2855 KM2858 KM2859 KM2860 KM2861 KM2862 KM2863 KM2868 KM2869 KM2870 KM2871 KM2872 KM2873 KM2901 KM2902 KM2904 KM2905 KM2950 KM2951 KM2952 KM2953 KM4100 KM4394 KM7101 KM7395 Flight Date I accept that I must advise Air Malta or my travel agent as soon as possible if any of the following statements apply, and if so, I must not report to the airport for my flight. I have been diagnosed with COVID-19 at any time during the 14 days prior to my flight. I have had any of the COVID-19 relevant symptoms (fever; newly developed cough; loss of taste or smell; shortness of breath) at any time during the 8 days prior to my flight. I have been in close contact (e.g. less than 2 meters for more than 15 minutes) with a person who has COVID-19 in the 14 days prior to my flight. I am required by local or national regulations to be in quarantine for reasons related to COVID-19 for a period that includes the date of the flight. I have not resided for a minimum of 14 days in one of the safe-corridor Countries I understand that if I do not disclose accurate information to the airline and my circumstances are identified at the airport I may be refused travel.