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Reference Number: 23-INDIV/2020/102973

ISOLATION/QUARANTINE NOTICE
PERSONAL INFORMATION
Name: MD PARVEJ MIAH Nationality: Bangladeshi

Current Address: -

Contact no: 7410423 Passport/ID Card no: BQ0518459

DOB: Age:

PLACE OF ISOLATION/QUARANTINE
Name of the place: NO: 72, Dheyliyaage, DH. Kudahuvadhoo
Facility contact number:
NEED FOR ISOLATION/QUARANTINE
Since you are to travel from Male’ City to Islands at a time of community spread of
COVID-19, a rapidly spreading communicable disease, to manage the disease
condition as a protective measure to prevent and contain the virus from further
transmission.
REASONS FOR ISOLATION/QUARANTINE
For investigation, monitoring, and treatment (if required), of a suspected case of
COVID-19.
TIME PERIOD FOR ISOLATION/QUARANTINE:
14 (fourteen) days from the date (15 November 2020), or until further notice from the
Health Protection Agency.

Date and Time of Issue: 13 November 2020

Maimoona Aboobakuru
Director General of Public Health
 NOTICE TO THE INDIVIDUAL UNDER ISOLATION/QUARANTINE
 The Director General of Public Health, with whom the power is vested by Section 12(a) of
Law Number 7/2012 (Public Health Protection Act), is instructing you to be
isolated/quarantined from 15 November 2020 for a period of 14 (fourteen) days, or until
further notice from the Health Protection Agency.
 You are being isolated/quarantined in accordance with Section 12(c)(4) of Law Number
7/2012 (Public Health Protection Act) as a measure to prevent and contain the virus from
further transmission.
 You shall cooperate with the competent authorities to facilitate and abide by all related
instructions and measures and may not in any way impede the work of the competent
authorities.
 If found to be in violation of Quarantine rules, including leaving the isolation/quarantine
room (or) meeting with others in isolation/quarantine, your isolation/quarantine shall be
extended for a period of 14 (fourteen) days from the date of violation.
 Should the facility or any property situated at the isolation/quarantine facility be damaged
due to misconduct or negligence of the individual, you shall be responsible for the action.
 Legal action may be taken against you under the relevant laws of Maldives, if found in
violation of these instructions.
I have fully understood and hereby accept the need and reasons explained for my
isolation / quarantine. I have also received this document.
Name: MD PARVEJ MIAH
Passport/ID Card no: BQ0518459
Date:

Signature:

IF THE INDIVIDUAL SUBJECTED TO ISOLATION / QUARANTINE IS

UNDER 18 YEARS OF AGE:
I hereby declare that the need and reasons for isolation / quarantine of the aforementioned individual under my
guardianship have been clearly explained.
Name of the Guardian: {guardian_english}
Passport/ID Card no:
Relationship to the individual subjected to isolation/quarantine: {guardian_relationship_english}

Signature:

Date:

.ް‫ އަށް އީމެއިލް ކުރެއްވުން އެދެނ‬eoclegal@health.gov.mv ،ަ‫ވލައްވާނަމ‬

ެ ް‫މި ލިޔުން ދިވެހިން ބޭނުނ‬ 