Health Declaration Form

HEALTH & TRAVEL DECLARATION FORM

Dear Valued Guest,

You are kindly requested to fill out this Health & Travel Declaration Form of which is a mandatory procedure in accordance with Regional Government regulations in relation of the Covid-19 pandemic scenario and in response to any possible emergency, safety of others and comittment to track and trace and eliminate a spreading of this desease. Thank you for your understanding and cooperation.

Full Name (required)

Nationality (required)

Mobile No (required)

Your Email (required)

Room No (required)

Check In Date (required)

Check Out Date (required)

Last Country of Disembarkation (required)

Flight No

Temperature recorded (required)

Date Check (required)

Time Taken (required)

*** TERM ***

Acknowledgement
I acknowledge and agree to the collection, use and disclosure of my personal data, health information and recent travel history for the purposes set out in this form.

I hereby confirm that the above information is accurate to the best of my knowledge:

I Agree

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