| *Covid-19 Test |
|
| *Passport No. |
|
| *Country of Departure |
|
| *Date of appointment |
|
| *Date of departure |
|
| Describe history of medication intake |
|
| Describe history of surgery, medical treatment |
|
|
Please fill out the form attached.
Download
* You can save the time to register if you bring and submit us its hard copy.
|
| *Automatic input prevention |
7877 ← Please write in the order you see (4 Digit)
|
