Thank you for completing the â€‹self-declaration form. 

Stay safe and adhere to Covid-19 protective measures.

Please ensure your company number is correct. If wrong, resubmit the form.

COVID-19 Self-Declaration Form Certificate

Please find details below.

Company Number / Resident ID
Valid From Date
Valid To Date

I certify that the information provided in the Self Declaration Form is correct. Non-disclosure or misinformation may attract consequence management. I also acknowledge my understanding of Covid protection measures that I have to take while at work & travel .