Register

FullName / Naran

Date of Birth / Data Moris (YYYY-MM-DD)

Sex / Seksu

Nationality / Nasionalidade

Passport No / No. Passporte

Address in Timor-Leste / Hela fatin iha Timor-Leste

Phone No. in Timor-Leste / No. Telefone iha Timor-Leste

RSETL Id / Code

Arrival Date in Timor-Leste / Data to'o iha Timor-Leste

Point of Entry

Vessel Flight/Vehicle No. / No Voo/Veikulu

Depature From Country/ Mai husi nasaun

Depature From City / Mai husi cidade

Travel History / Historia Viajen

Were you diagnosed of having COVID-19 / Antes ne'e ita bo'ot hetan diagnostiku ho COVID-19

If Yes, the date of diagnosis / Se loos, data diagnostiku

Are you vaccinated with COVID-19 vaccine / Ita bo'ot hetan ona vasina COVID-19

Last vaccine date / Data vasina ikus

Product Vaccine / Produtu vasina

Have you done a pre-departure PCR test / Ita bo'ot hetan ona teste PCR antes halo viajen

If Yes, date of the test / Se loos, data teste

At present, are you suffering from? / Agora daudaun ita bo'ot sofre hela?

Fever ≥ 38℃ / isin manas ≥ 38℃

Breathing Difficulty / Dada-is araska

Headache / Ulun Moras

Cough / Mear

Fatigue / Liman ain kolen ka mamar

Sore Throat / Kakorok sente to'os no moras

Other / Seluktan

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