(Kindly fill out all the information needed and do not leave any box unmarked. Travelers are required to complete a Health Declaration Form.)
* - Required to fill-up.
* I hereby authorized the Province of Camiguin, to collect and process the above information for the purpose of effecting control of the COVID-19 infection. I understand that my personal information is protected by RA 10173, Data Privacy Act of 2012 and that I am required by RA 11449, Bayanihan to Heal as One Act, to provide TRUTHFUL information.
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