QUARANTINE CLEARANCE

TO WHOM IT MAY CONCERN:

This is to CERTIFY that who came from

(NAME)
had undergone the mandatory 10 days
(PLACE OF ORIGIN)
Home/Facility quarantine which started from 01/15/2022 to 01/24/2022

at .
(QUARANTINE FACILTY/HOME ADDRESS)

It is further certified that . has recovered

(NAME)
from any signs and symptoms of COVID-19 within the said period.

Issued on 01/25/2022 for whatever purpose may it serve best.

(DATE)

Local Health Officer Printed Name with Signature/Date