Health and Travel History Declaration Form
Health and Travel History Declaration Form
I hereby authorize Shore Residences Condominium Corporation, 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 RA 10173, Data Privacy Act of 2012, and that I am
required by RA 11469, Bayanihan to Heal as One Act, to provide truthful information.
Signature: Date: