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Covid-19 Register For Visitors

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This document appears to be a screening form for COVID-19 symptoms, asking individuals for their name, ID number, contact details, travel history and potential exposure to confirmed cases, as well as symptoms like fever, cough, sore throat, body aches, and actual temperature. It aims to screen and collect health information from individuals in 3 pages or less.

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COVID-19 REGISTER FOR VISITORS.xlsx

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Covid-19 Register For Visitors

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PLACE YOUR LOGO HERE

Are you currently suffering from any of the

following Symptoms

Have you Have you been in

travelled contact with someone Sore Actual
Date Name Surname ID Number Contact Number between who is confirmed to Fever Cough
Throat
Body Pains Headache
Temperature
Signature
Provinces in the have COVID-19 in the
last 14 days last 14 days

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