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Guest Self Declaration Form Covid 19

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Guest Self Declaration Form COVID 19

Self Declaration form for Hotels or Other Businesses with required necessary details as directed by MoHA

Page 1

Please fill out the following information

Email*

Full Name*

Address*

Phone Number*

Date of Arrival*

Select date

Date of Departure*

Select date

Nationality*

Passport Number

Purpose of Visit*

10.

Have you been tested positiv...*

11.

Have you been in contact wit...*

Yes

12.

13.

Upload a copy of your ID (Aa...*

Drop a file here or click the button below to load the file

Choose file

Max Combine file size: 10MB

Description:This guest self-declaration form is designed for hotels and other businesses to ensure compliance with COVID-19 guidelines set by the Ministry of Home Affairs. The form includes all necessary details required for self-declaration.

Ensure the safety of your guests and comply with government regulations with this guest self-declaration form. As per the guidelines set by the Ministry of Home Affairs, hotels and other businesses are required to collect self-declaration forms from their guests. This form includes all necessary details such as travel history, symptoms, and contact information. By using this form, you can ensure that your guests are not at risk of spreading COVID-19 and that your business is in compliance with government regulations. Use this form to prioritize the safety of your guests and staff.

First Name*

Last Name*

Date of Birth*

Select date

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What is your name?*

What is your age?*

What date did you visit our clinic?*

Select date

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Full Name*

Date of Birth*

Select date

Gender*

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Name*

Phone Number*

Date of Service*

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First Name*

Last Name*

Phone Number*

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Covid 19 Rapid Test Appointment And Consent Form Cpesn

Protect yourself and others by scheduling a COVID-19 rapid test appointment and providing consent with this form. This form is designed to help you easily schedule an appointment for a COVID-19 rapid test and provide your consent for the test. The form is user-friendly and easy to fill out, ensuring that you can quickly schedule your appointment and provide your consent. By using this form, you can help protect yourself and others by getting tested and taking the necessary precautions to prevent the spread of COVID-19.

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Full Name*

Address*

Phone Number*

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First Name*

Last Name*

Date of Birth*

Select date

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