EWIS Event Mandatory Travel Declaration
Salutation (*)

Invalid Input
Full Name (*)

Invalid Input
Email (*)

Invalid Input Email Address
Contact Number (*)

Invalid Input
Have you at any time travel to Mainland China (excluding Hong Kong and Taiwan) in the past 14 days from this declaration date?

Invalid Input
Have you at any time travel to Republic of Korea in the past 14 days from this declaration date?

Invalid Input
Have you at any time travel to Iran in the past 14 days from this declaration date?

Invalid Input
Have you at any time travel to orthern Italy (Aosta Valley, Piedmont, Liguria, Lombardy, Emilia-Romagna, Veneto, Friuli-Venezia Giulia and Trentino-Alto Adige/S├╝dtirol) in the past 14 days from this declaration date?

Invalid Input
Have you been in contact with a confirmed/suspect COVID-19 case in the last 14 days?

Invalid Input
Do you have a temperature of more than 38.0 degrees celsius?

Invalid Input
Do you have any respiratory symptoms (e.g. cough, flu, shortness of breath / difficulty in breathing)?

Invalid Input


Invalid Input
(*)


Invalid Input



Go to top
JSN Boot template designed by JoomlaShine.com