Declaration Form - CPD 2021073
All members are required to complete a  Declaration Form before joining the visit. If you fail to complete the form or answer NO to one or more of the questions, you will not be allowed to join the visit.

Members are advised not to join the visit if they have been travelling abroad, or have been in direct contact with someone who has tested positive for COVID-19, or have any symptoms of COVID-19 (including but not limited to fever, cough, shortness of breath, breathing difficulty and/or sore throat) in the last 14 days, or have been confirmed with COVID-19 disease previously in the past 42 days.
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Name in full *
Division *
Mark only one oval.
HKIS membership no *
Email address *
Contact tel. no *
Q.1 I understand "the risk of joining the above visit." *
Mark only one oval.
Q.2 I understand "Under no circumstances shall The Hong Kong Institute of Surveyors (“HKIS”), their staff or agents be held liable for the consequence of any accidents whether or not they are caused by the negligence of the HKIS, their staff and/or agents." *
Mark only one oval.
Q.3 I understand "members participating in the above visit shall be in good health condition." *
Q.4 I understand "While the HKIS has arranged Group Personal Accident insurance for members joining the above visit, members who have been accepted for joining the above visit can consider procuring an appropriate insurance policy to cover their own risks before joining the visit."
Clear selection
Q.5 I understand "Claims related to COVID-19 and/or pandemics are excluded under the insurance policy procured by the HKIS. " *
Declaration *
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