Building Entry Questionaire
Each person coming into the buildings is required to fill out this questionnaire to supply such to the Department of Health in accordance with the COVID-19 plan.

By completing this form you give permission that the information may be shared with the Department of Health, Universities, and Management if or when required.

IMPORTANT: If you have any symptoms of COVID-19 and/or your fever is above the normal degrees, as stipulated by the Department of Health you will be denied access and required to get tested as per the South Africa Disaster Act.
Sign in to Google to save your progress. Learn more
Email *
Building entering:
Clear selection
Name *
Surname *
Reason for entry to the building *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy