Covid19 Health and Travel Declaration

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HKPAPA x WFA Flight Experience Day kindly request one member per household to complete this declaration form, which will contribute to helping us safeguard the safety and security of our pilots, flight instructors and clients using these facilities.

Full Name (As shown on HKID) 顯示在香港身份證上英文全名 *

Name of accompanied guest(s) 陪同嘉賓姓名

Phone number 電話號碼 *

Date and Time of Visit: 到訪日期和時間 *

YYYY

1) I have not been out of Hong Kong in the past 14 days. 本人在過去 14 日內並無離開香港。2) I have not been in contact with anyone who is a confirmed or preliminary positive case of COVID-19 infection in the past 14 days from the date of this declaration. 本人在申報當天至過去 14 天內並未曾與任何 2019 冠狀病毒確診或懷疑確診人士接觸。3) I do not have and have not had in the past 14 days any of the following symptoms– fever, malaise, dry cough, shortness of breath, or other flu-like symptoms.本人現時及過去 14 天內並無以下任何症狀，包括發燒、乏力、乾咳、呼吸困難或感冒症狀。 *

I confirm that the above information is accurate to my best knowledge, and agree that such information will be processed and used in accordance. 本人聲明據本人所知及所信，以上資料均屬正確無誤

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