All inbound events are postponed till July 31st.
Novel Coronavirus Health Declaration
During the past 14 days,
1. Have you had fever, cough, or shortness of breath? (if take medications, please answer "Yes")
£ YES £ Fever £ Cough £ Shortness of breath
£ NO
2. TRAVEL HISTORY
Have you been to (including transfers)?
£ China, Province
£ Hong Kong
£ Macao
£ Other Countries or cities
£ None of the above
3. CONTACT HISTORY
Have you been in contact with
£ Fever or flu-like symptoms persons
£ Birds, ducks, etc.
£ Livestock such as pigs, cats, dogs, etc.
£ None of the above
4. CLUSTER HISTORY
(1) Living with family members who is/are
□ Home isolation □ Home quarantine
□ Independent health management (Due Date: )
□ None of the above
(2) Family / friends / colleagues status
□ Family also has fever or flu-like symptoms
□ Friends also have fever or flu-like symptoms
□ Colleagues also have fever or flu-like symptoms
□ None of the above
*Be sure to wear a mask in public places during following 14 days.
Signature
Date