WTCMM Health Declaration Form

Travel History:

I hereby authorize WTCMM, to collect and process the data indicated herein for the purpose of effecting control of the COVID-19 infection, I understand that my personal information is protected by R.A 10173, Data Privacy Act of 2012, and that I am required by R.A 11469, Bayanihan Heal as One Act, to provide truthful information. *