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Tan Son Nhat Golf Course

(+84) 94 666 0088

(+84) 283 987 6666

MEDICAL DECLARATION FORM (For customers)

Medical declaration:

If you have any of the followings at present or during the past 14 days (until the date of check in at Tan Son Nhat Golf course)?
Symptoms Yes No
Fever (*)
Cough (*)
Shortness of breath (*)
Sore throat (*)
Symptoms Yes No
Sneezing, runny nose (*)
Fatigue (*)
Vomiting / nausea (*)
Diarrhea (*)
History of exposure: During the last 14 days (until the date of check in atTan Son Nhat Golf course), did you:
Yes No
Contact with people directly caring for people with Covid 19 (*)
Contact with people from abroad (where there is the Covid epidemic) returning (*)
* Contact with an infected or suspected person with Covid 19 (F0, F1, F2, F3) (*)
Contact with suspected person with fever,cough, shortness of breath, pneumonia (*)
Living in or going to or in contact with people in a high-risk area (*)
- Within 14 days (since check-in at Tan Son Nhat Golf Course), have you ever passed through the following areas:
Yes No
Provinces from Khanh Hoa head to North Vietnam? (*)
Areas under quarantine in Ho Chi Minh city? (Updated following the announcement of the Vietnam Ministry of Health) (*)

I hereby declare that the above information is true and understand that providing false information may lead to serious consequences.