HEALTH DECLARATION

Welcome,

You are about to take up the HEALTH DECLARATION FORM

If you have any concern, please feel free to contact us.

E-mail Address: support@flightwingsaviation.com
Facebook Page: www.facebook.com/flightwingsaviation

Email Address
FULL NAME
CONTACT NUMBER
Complete Current/Home Address:

Contact Number of Guardian/Parent, in case of Emergency:

Are you experiencing or did you have any of the following in the last 14 days: fever, cough/colds, body pains, sore throat, fatigue, headache, diarrhea, loss of taste or smell, and difficulty of breathing?

Have you had face-to-face contact with a probable or confirmed COVID-19 case within 1 meter and for more than 15 minutes for the past 14 days?

Vaccine Certificate / Vaccine Card

UPLOAD A COPY OF PICTURE OR PDF!!!

Drag and Drop File Here or Browse
I hereby certify that the information given is true, correct and complete. I understand that failure to answer any question or any falsified response may have serious consequences. I understand that my personal information is protected by RA 10173 or the Data Privacy Act of 2012 and that this form will be destroyed after 20 days from the date of accomplishment, following the National Archives of the Philippines protocol.