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Persons on board known to be suffering from illness other than air sickness or the effects of accidents, as well as those cases of illness disembarked during the flight............... Any other condition on Board which may lead to the spread of diseases.................. Details 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............................SGD, if required Crew member concerned] SCHEDULE 3 International Certificate of Vaccination or Re Re-- vaccination Against Yellow Fever Certificate International De Vaccination Ou De Revaccination Centre La La--Fievre Jaune This is to certify that date of birth sex Je soussigne (c) certific que ..ne(c)le ...sexe whose signature follows............. dont la signature suit.............. has on the date indicated been vaccinated or revaccinated against yellow fever. a etc (e) vaccine (e) ou revaccine (e) contre lafievre jaune a la data Indiquee, Date Signature and professional Origin and batch Official stamp of status of vaccinator Signature no. of vaccine Origin vaccinating centre et qualite professionello du vaccinemploye Chet official du du vaccinateur et numero du lot centre de vaccination 2 [NOTE.- This certificateis valid only if the vaccine used has been approved by the World Health Organisation and if the vaccinating centre has been designated by the health administration for the territory in which the centre is situated.The validity of this certificate shall extend for a period of 10 years, beginning ten days after the date of vaccinative or. in the event of a revaccination within such period of 10 years from the date of that revaccination. Any amendment of this certificate, or erasure, or failure to complete any part of it. may render it mavalid. Ce certificate n'est valable que side vaccin employe a etc approuve par I' Organisation mondiale de la Sante et side centre dc vaccination a etc habilite par I'administration sanitaire due lerritoire dans lequel ce centre est situe. La validite de ce certificate couvre une periode de dix ans commencant disjours apres le date de la. vaccination ou, dans le cas d'une revaccination ou cours de cette periode de dix ans. le jour de cette revaccination. Toute correction ou rature sur le certificat ou I'omission d'une quelconque des mentions qu'il comporte peut affecter so validite.