Health Declaration Form 健康申報表
I hereby declare, under penalty of law, that I or persons whom I reside with that have not displayed any symptoms such as cough, sore throat, fever, or been in contact with a confirmed COVID-19 case in the past 14 days.
本人特此聲明,自本日起過去14天內,我或我同住的親友沒有出現任何不適症狀,例如咳嗽,喉嚨痛,發燒,或沒有接觸確診2019 新型冠狀病毒之病例。
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