4 MEDICAL TESTING Kit Registration
PLEASE ENSURE THAT ALL INFORMATION IS CORRECT AS CERTIFICATES CANNOT BE CHANGED.
Email *
Account Number (N/A if not applicable) *
Kit ID Number *
Test kit ID begins with 4MT following 7 digits, eg 4MT1234567
Passenger First Name as per Passport *
Passenger Last Name as per Passport *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
E-mail Address for Test Result *
Nationality *
Passport Number *
Date of Test *
MM
/
DD
/
YYYY
Time of Test *
Time
:
Which Test are you registering ? *
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