Guests of Tam Wing Fan Innovation Wing
The information collected will only be used to ensure the safety and health of the campus environment and will be destroyed 3 weeks after the date of visit.
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Full Name (姓名) *
Department / Unit / Organization (學系 / 組織 / 機構) *
Contact phone number (聯絡電話) *
For contact tracing purpose (用於接觸者追踪)
I declare that I do not have the following symptoms, and have not been out of Hong Kong in the last 14 days. (我申報在過去十四天內並沒有下列病徵, 以及沒有離開香港 ) *
Fever 發燒  (>37.5C); Cough 咳嗽; Chills & Rigor 發冷; Diarrhea 肚瀉; Shortness of Breath / Difficulty in Breath 呼吸急促 / 呼吸困難
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