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Dear Friend,

You are entering a Covid Free Area!


For safety and security purposes, please fill out this form as required by our national and local health
authorities that will require you to provide true and accurate necessary information that will aid in
contact tracing, should the need arise.
All the information submitted shall be encrypted and strictly used only in compliance to Philippine law,
guidelines, and ordinances in light of Covid-19 response.

Thank you for your cooperation.

NAME ADDRESS DATE CONTACT NUMBER SIGNATURE


CONTACT TRACING
LOGBOOK

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