健康申明填报(2020-02-17)
Health Information
Name
Mobile
Temperature
Plate Number
Personal/Company
Location
Have you been to Hubei Province of China over the past 14 days?
Have you contacted with patients from Hubei Province of China who had symptoms such as fever, fatigue, or cough over the past 14 days?
Do you have one or more of the following symptoms?(such as fever, fatigue, cough, etc.)
我已阅知本申明卡所列事项，并保证以上申报内容正确属实。
I declare that all the information provided above is authentic and correct.
填表须知：根据有关法律法规规定，为了您和他人健康，请如实逐项填报，如故意隐瞒或虚假填报个人信息，将依法追究相关责任。如果添加他人健康申明信息，请您对其信息的真实性承担责任。请将填写完毕的表格出示给相关工作人员。
For the health of you and others, please fill this Health Declaration Card faithfully. If you conceal of falsely declare your information intentionally, you will beheld accountable in accordance with relevant Law of China.If you add other people's health information, you are responsible for the authenticity of their information.Please hand completed report to the flight cabin crow.