How's Visitor Registration Form

How's Visitor Registration Form

HOW-PRP-08-(F02)-01 (Effective 01/07/2020)
Date & Time of Visit / 日期和时间

DayMonthYear
DateHourMinutesAM/PM Option
Purpose for visit (Person in Charge) / 探访目的 (负责人)*
Company Name - 公司名
Name / 姓名*
Contact Number / 联络号码*
QN 1.) Have you suffered from anyinfectious disease in the last 6months? (eg. Cholera, Typhoid, YellowFever, Chikungunya Fever) / 最近6个月内您是否患有任何传染病?（例如霍乱，伤寒，黄热，基孔肯雅热症）

YES / 是NO / 否
QN 2 ) Within the last 14 days, haveyou had contact with any person whohas been tested positive for an infection with the COVID-19 (Coronavirus)?/ 在过去的14天内，您是否与任何经检测呈冠状病毒 / 感染呈阳性的人联系？*

YES / 是NO / 否
QN 3 ) Have you visited any country infected with infectious disease with in the last 30 days? / 您过去30天内是否到过任何感染传染病的国家 / 地区?*

YES / 是NO / 否
QN 4 ) Have you visited any country within the last 30 days? / 您过去30天内是否到过任何国家 / 地区?*

YES / 有NO / 没有
If YES to Qn 4, Which country? / 如果对 Qn 4 为“有”，哪个国家 / 地区？
Qn 5 ) Are you currently suffering from any illness? (eg. Flu, Cold, Sore Throat, Sore Eye) / 您目前有病吗？（例如，流感，感冒，喉咙痛，眼痛）*

YES / 是NO / 否
Qn 6 ) Do you have any open wounds which are not covered? / 您是否有未覆盖的开放性伤口？*

YES / 是NO / 否
If you have answered any of above questions with a ' YES ' or have not completely filled out the the form, you MAY NOT be allowed to enter our premises.

如果您以 “是/有” 回答了以上任何一个问题，或者尚未完全填写表格，您可能不被允许进入我们的场所。
I hereby confirm that I have READ & UNDERSTOOD the above and have answered them TRUTHFULLY. / 我特此确认我已阅读并理解上述内容，并已正确答复*

YES / 是NO / 否
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