Returning Bayawanons (LSIs)
NOTE: Kini nga form alang sa tanang magpa-uliay sa Bayawan. Sa dugang mga pangutana ug kasayuran makatawag kamo sa Bayawan City Emergency Operations Center. (Please note that this form must be accomplished by all Locally Stranded Individuals (LSIs) returning to Bayawan City, Negros Oriental, Region 07. For inquiries and questions, you may call Bayawan City Emergency Operations Center: 09971864404, 09168755031, 09610192121, 09610192373. Salamat!
Name *
Surname, First Name, M.I.
Gender *
Birthdate: *
MM
/
DD
/
YYYY
Age: *
Cellphone Number: *
Facebook Name: *
Bayawan City Residential Address *
CURRENT LOCATION (Province) *
Asa ka na-stranded? (e.g. Bohol, Ilocos Norte, Cavite)
Mode of Travel *
Date of Departure *
Petsa sa imong paglarga
MM
/
DD
/
YYYY
Date of Arrival *
Petsa sa imong pag-abot
MM
/
DD
/
YYYY
Reason for Travel *
Unsay rason sa pagpauli
CCTS ID Number *
Salamat!
Note: Sa atong bag-o nga protocol, wala na gapangayo og requirements like medical certificate ug travel authority ang Bayawan. Kung maka fill out mo ani nga form, paabuta nalang ninyo ang inyong Certificate of Coordination. Apan ang province mismo ang garequire og RT-PCR (swab test) upon entry. Kung dili mo makaparovide og swab test sa inyong pagsulod sa province, ang province na ang mu-assist ninyo. Salamat.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms