EXPECTANT  MOTHER  -­‐  FIT  TO  FLY  FORM                                      DA/GO/FROM-­‐3  

For  uncomplicated  single  pregnancies,  Drukair  restricts  travel  beyond  the  end  of  the  36th  week,  and  for  
twins,  triplets  etc.,  beyond  the  end  of  the  32nd  week.  
 
Passenger  Name:  __________________________________________________________p  
 
Single  pregnancy                                      Multiple  
  Pregnancy      
 
Outbound  Flight  date:      ____/____/_____                    Number  of  weeks  pregnant:  ____  weeks  
 
Return  Flight  date:              ____/____/_____                          Number  of  weeks  pregnant:  ____  weeks  
 
 
Your  Doctor  must  confirm  the  following:      

The  pregnancy  is  uncomplicated  

The  expected  date  of  delivery    ____/____/_____  

You  are  fit  to  fly  

Doctor’s  Signature  ___________________________                      Date____/____/______    

 
 
Doctor’s  stamp  

*  This  letter  should  be  dated  within  2  weeks  of  the  departure  date.  *  

_____________________________________________________________________________________________

EXPECTANT  MOTHER  –  MEDICAL  CONFIRMATION  –  FITNESS  TO  FLY

Once  an  uncomplicated  pregnancy  enters  its  28th  week,  expectant  mothers  are  required  to  carry  a  'fit  to  fly'  
letter  completed  by  their  midwife/doctor  above.  This  completed  letter  should  be  dated  within  2  weeks  of  the  
booked  flight.

Drukair  reserves  the  right  to  refuse  travel  of  an  expectant  mother  over  28  weeks  pregnant  who  does  not  present  a  
completed  “fit  to  fly"  letter  from  their  midwife/doctor  at  either  the  bag  drop  desk  and/or  the  boarding  gate.

For  uncomplicated  pregnancies  travel  is  not  permitted  beyond  the  following  dates:

For  an  uncomplicated  single  pregnancy,  travel  is  not  permitted  beyond  the  end  of  the  36th  week  of  pregnancy

For  uncomplicated  twins,  triplet  etc.  pregnancy,  travel  is  not  permitted  beyond  the  end  of  the  32nd  week  of  
pregnancy.

REVISION  0   1  DECEMBER  2015   1