Section 5. Declaration
I ACKNOWLEDGE and ACCEPT that I am required to undergo at least 14 days of
I acknowledge that a negative PCR test does not necessarily exempt me from quarantine.
I AGREE to comply with the quarantine rules issued under the State of Emergency by the
Ministry of Health
I ACKNOWLEDGE that failure to observe quarantine puts me and those around me at
I AGREE to fully cooperate with the facilitator, caretaker, health care professional or other
MoPH officials who are responsible for my well-being during quarantine.
I ACCEPT that No Visitors are allowed (however, they can utilize the CDC for collection
of items from family members).
I WILL, if asked, wear a mask or other Personal Protective Equipment (PPE) (of the
speciﬁcations recommended by MoPH) at all times during quarantine.
I CONSENT to provide truthful information at all times during my stay in quarantine.
I ACKNOWLEDGE and ACCEPT that this Declaration will be considered as my consent
to Ministry of Foreign Affairs and Ministry of Public Health to disclose, share, record and
store the information contained in this application with any relevant authority or service
provider for the purposes of ensuring the safety and security of any and all third parties
that may come in contact with me prior, during, and after my time in quarantine.
I certify that the information provided above is true and accurate at the time of submission.