Coronavirus COVID19 - Resource Onboarding Checklist

Please the appropriate box.

1 Do you currently reside in a place designated as high-risk zone? no Location:

If yes, please mention the location

2 Have you ever been quarantined? If so when? no Quarantine Period:

3 Do you have any COVID-19 positive cases within your family or no If Yes Please Specify:
family members? If yes, please indicate

4 Did you travel to any other country / other states within India in no If Yes Please Specify:
the last 30 days. If yes, please mention the country or state(s)
and the duration of your stay

5 Are you willing to relocate after lockdown is lifted and travel yes
restrictions eased?

Do youconfirm
Please have a laptop
that youor do
desktop withany
not have high
of speed Internet
the following
connectivity.
symptoms Also
like cancough,
fever, you manage a quiet
cold, sore & calm
throat, andworkspace
shortness of
6 breath
which isorideal
any to attend
other virtual meetings?
contagious disease. If required you may no but manageable in case of emmergency
have to provide a medical fitness certificate from a certified
7 health practitioner no

Date : 01-02-2022 Signature of the candidate

For the latest update on Corona Virus [COVID 19], please visit World Health Organization website
https://www.who.int/health-topics/coronavirus