Covid 19 AFWE Tracking

Full name:

Mobile:

Email:

Address:

Arrival time:

Declare:
Do you declare that you or any person visiting with you:
do NOT have COVID-19 or flu like symptoms,
have NOT been in contact with any confirmed COVID-19 cases in the past 56 days, and
have NOT visited or been back from overseas in the past 56 days
YesNo