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PO Box 256, Koror, PW 96940
The information bellow must be completed by all person Entering Palau. Print the Answer to all questions In blue or black ink.
Palau Residents fill out blackside only
I agree to help preserve Pristine Paradise Palau by respecting all laws, artifacts, and living things while I am here. I will help save natural resources, and the environment to benefit the people of Palau, and future visitors. As such, I promise to conserve islands and beaches, and I will avoid contact with flora and fauna, reefs, corals, marine life, and relics. I will take my trash with me. I will leave the Pristine Paradise Palau as beautiful as I found it as required by law.
Do you have any of the following symptoms, or have you, in the past 14 days?
If you have any of these symptoms, and have a travel history of visiting areas with wide-spread
transmission of COVID-19, please call the Emergency Room (ER) of the Belau National Hospital
at (tel): 488-2558
DECLARATION: I declare that the details I have given are true and correct and complete in
The information on this side must be completed by all individuals entering Palau. One form per person. Answer all questions below truthfully. If you make a false declaration or present false documentation, items may be seized and you will be subject to criminal penalties. If in doubt please ask any CUSTOMS or BIOSECURITY Officer for assistance.
How many bags do you have?
Declare if you are bringing:
Traveler's Allowance (Airline Passengers)
I certify to the best of my knowledge that the information I have provided in this form is true and correct.
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