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SARSCoV2 SELFDECLARATION DECLARATION MADE PURSUANT TO ARTICLES 46 AND 47 DR N.445/2000 ISSUED ON THE OCCASION OF PARTICIPATION IN THE TEST FOR ADMISSION TO THE DEGREE COURSE IN: (cross with an X):

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How to fill out covid-19 self-declaration form

01

Obtain a copy of the covid-19 self-declaration form. This can usually be found on the official website of your local health department or can be provided by your employer.

02

Read the instructions and guidelines provided with the form carefully. Make sure you understand the purpose of the form and the information required.

03

Fill in your personal information accurately. This includes your full name, date of birth, address, phone number, and any other details specified on the form.

04

Answer the questions regarding your recent travel history. Provide information about any international travel or visits to high-risk areas.

05

Declare if you have been in contact with anyone diagnosed with Covid-19. If yes, provide details of the contact and any measures taken.

06

Declare if you are currently experiencing any symptoms associated with Covid-19. This may include fever, cough, difficulty breathing, loss of taste or smell, etc.

07

Sign and date the form indicating that the information you provided is accurate to the best of your knowledge.

08

Submit the completed form as instructed. This may involve delivering it to a designated location or sending it electronically.

09

Keep a copy of the completed form for your records.

10

If necessary, follow any additional steps or instructions provided by your employer, healthcare provider, or local health department.

Who needs covid-19 self-declaration form?

01

Anyone who is required or requested to provide a covid-19 self-declaration form should fill it out. This can include individuals seeking medical care, entering certain establishments or events, traveling to specific locations, or those mandated by their employer or local authorities.

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What is covid-19 self-declaration form?

The COVID-19 self-declaration form is a document that individuals are required to fill out to disclose their health status in relation to COVID-19, including symptoms, exposure, and vaccination status.

Who is required to file covid-19 self-declaration form?

Individuals traveling to certain destinations, attending large gatherings, or seeking medical services may be required to file the COVID-19 self-declaration form.

How to fill out covid-19 self-declaration form?

To fill out the COVID-19 self-declaration form, individuals typically need to provide personal information, answer health-related questions, and attest to the accuracy of the information provided.

What is the purpose of covid-19 self-declaration form?

The purpose of the COVID-19 self-declaration form is to help authorities track potential cases of COVID-19, monitor the health status of individuals, and ensure public health and safety.

What information must be reported on covid-19 self-declaration form?

The information that must be reported on the COVID-19 self-declaration form usually includes personal identification details, travel history, symptoms experienced, test results, and vaccination status.

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