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Visitor’s Registration Record

Date of visit:

2021-08-04

Time of visit:
16:58:31
Name:
Contact no:
Purpose of the visit:
Details
1
Do you currently have fever or respiratory symptoms or sudden loss of taste/smell?
No
2
Have you ever stayed in / visited any place(s) outside of HK in the past 21 days?
No
3
Have you been in close contact with any confirmed case in the past 28 days?
No
4
Are you currently under compulsory quarantine / home quarantine period ordered by the Government under the Prevention and Control of Disease Regulation (Cap. 599)?
No
5
Are you currently under the designated period of compulsory testing ordered by the Government or medical practitioner under the Prevention and Control of Disease (Compulsory Testing for Certain Persons) Regulation (Cap. 599J)?
No
6
Are you currently under self-monitoring period ordered by the Government under the Prevention and Control of Disease Regulation (Cap. 599)?
No
7
Are you the designated person that fulfilling certain criteria for exemption from quarantine ordered by the Government under section 4(1) of the Compulsory Quarantine of Certain Persons Arriving at Hong Kong Regulation (Cap. 599C) (the Regulation), made under the Prevention and Control of Disease Ordinance (Cap. 599)?
No
Visitor’s Registration Record

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Purpose of the visit

Please select the appropriate box:

Please select the appropriate box:

1 Do you currently have fever or respiratory symptoms or sudden loss of taste/smell?
2 Have you ever stayed in / visited any place(s) outside of HK in the past 21 days?
3 Have you been in close contact with any confirmed case in the past 28 days?
4 Are you currently under compulsory quarantine / home quarantine period ordered by the Government under the Prevention and Control of Disease Regulation (Cap. 599)?
5 Are you currently under the designated period of compulsory testing ordered by the Government or medical practitioner under the Prevention and Control of Disease (Compulsory Testing for Certain Persons) Regulation (Cap. 599J)?
6 Are you currently under self-monitoring period ordered by the Government under the Prevention and Control of Disease Regulation (Cap. 599)?
7 Are you the designated person that fulfilling certain criteria for exemption from quarantine ordered by the Government under section 4(1) of the Compulsory Quarantine of Certain Persons Arriving at Hong Kong Regulation (Cap. 599C) (the Regulation), made under the Prevention and Control of Disease Ordinance (Cap. 599)?

Infection Prevention and Control Department
Version 13 | Effective: 28 Jun 2021