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HEALTH DECLARATION (COVID-19)
Please complete the following fields

Did you have any symptoms like cough, fever, chills, diarroea, dyspnoea, muscle ache during the last week?

Yes

Did you get in contact with a person with flu symptoms during the last week?

Yes

Did you get in contact with a person with COVID-19 during the last week?

Yes

Have you travelled in a high risk COVID-19 country during the last week?

Yes

Did you have contact with a person who travelled in a high risk COVID-19 country during the last week?

Yes

The above personal data and sensitive data are collected and processed solely for the purposes of compliance with applicable law, in order to provide you our services and for the protection of individual and public health. The above data will not be disclosed to third parties, only following a relevant order from the Competent Authorities.

I consent to the use of the information I hereby provide to you. I declare responsibly that all the above information is true. I agree and accept the need to process personal data and sensitive personal data for the aforementioned purposes.

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