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為因應防範新型冠狀病毒肺炎,交通部中央氣象局參酌衛生福利部疾病管制署之防疫建議,與會來賓請配合填寫健康聲明書,同時依據「COVID-19」防疫新生活運動:實聯制措施指引,個人資料自蒐集日起28日後將銷毀。若體溫超過攝氏37.5 度,將暫緩接待。請如實回覆下列問答,感謝您的協助與配合。

This declaration helps to ensure a safe experience for you and us. Guests with temperature above 37.5 °C should be advised to return home. We urge you to be completely transparent in providing us with the information requested. All information provided will be kept in strict confidence. We will delete personal data after 28 days from 2021/10/28.


■ 您的個人資料,僅供交通部中央氣象局(下稱「本局」)內部使用,於蒐集目的之必要合理範圍內加以利用至蒐集目的消失為止。

■ 任何人若拒絕健康聲明書填寫者,將無法參與本次研討會。如您於蒐集目的消失前要求本局停止蒐集/處理/利用或刪除您的個人資料,亦同。

■ 如您填寫並送交健康聲明書者,視為同意本局蒐集、處理及利用個人資料告知事項。
拜訪日期/時間 Visit Date/Time *
姓名 Your Name *
公司/單位名稱/職稱 Your Company Name/Title *
聯絡方式/手機號碼 Your Contact Number *
體溫 Temperature *
我承諾我本人 14 天內沒有出國且無身體不適,亦非衛生福利部疾病管制 署限定「居家隔離檢疫、自主健康管理」之對象。I confirm that I haven't travelled abroad, and have not had a cold, fever, cough, or other flu-like symptoms over the past 14 days. Besides, I'm presently not subject to quarantine by the Taiwan Center for Disease Control (CDC). *
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