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Booking now MEDICAL DECLARATION FORM

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Tan Son Nhat Golf Course

(+84) 94 666 0088

(+84) 283 987 6666

Long Bien Golf Course

(+84) 94 666 0099

(+84) 243 3232 999

MEDICAL DECLARATION FORM (For customers)
Vaccine Inforrmation
Enough 14 days since the 2nd dose
F0 has a confirmation of recovery from health authority
Under 14 days since the 2nd dose
Other
Covid-19 status at your residence
Green zone
Red zone
Orange zone
Other
Health condition
Good
High Fever (>38 Celcious Degree)
Cough
Shortness of breath/ Fatigue
Other
In the past 14 days, have you or your close contacts been exposed to patients of COVID-19 or people under investigation?
F0
F1
F2
No
Other
Customer of
Golf
Restaurant
Others
Party information (for restaurant)

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