Travel Declaration Form Travel Declaration Form Dear Parents In order to ensure the continuous wellbeing of your child, their classmates, and the rest of the student and staff community. As per the current prevention and control policy of COVID-19 (New Coronavirus), Dubai Health Authority requires you to provide information regarding your history of travel in the last 14 days, please report and update regularly in case of travel{{warmsg}}*{{warmsg1}} Student name/School Staff Name School Name Required You exceeded number of accepted characters (255) School Name should not contain special characters School Email School Email Required School Email is invalid You exceeded number of accepted characters (255) Student Name Student Name Required You exceeded number of accepted characters (255) Student Name should not contain special characters Grade Select {{option}} Grade Required Date of Birth Date of Birth Required Student history of travel in the last 14 days Yes No Required Close relative history of travel Yes No Required Country visited Country visited Required You exceeded number of accepted characters (2000) Date of travel Date of travel Required Date of return Date of return Required Duration of Stay Duration of Stay Required Any history of contact with confirmed COVID-19 case Yes No Required Fever or flu symptoms during or after return from travel Yes No Required Contact Number Select {{option.Title}} Send OTP Contact number is invalid Contact number required OTP Verification Code OTP Required Entered OTP is Incorrect Other Notes Other Notes Required You exceeded number of accepted characters (2000) I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief, and I undertake the responsibility to inform you of any changes therein, immediately. Please accept the terms and condition Parent/Guardian name Parent/Guardian name Required You exceeded number of accepted characters (255) Parent/Guardian name should not contain special characters Relationship Relationship Required You exceeded number of accepted characters (255) Relationship should not contain special characters This field is required. Submit Success! Your form sent successfully, we will review you’re form and contact you for more detail. Your reference no. is: {{recordno}}
