OQ

Dear OQ Guest,

Kindly answer the following questions, fill in the contact details and sign this declaration form.

Question 1: Have you recently arrived Oman in the last 14 days? *

YesNo

Question 2: Did you come in contact with any confirmed, suspected or quarantined person with new novel coronavirus (COVID-19) in the past 14 days? *

YesNo

Question 3: Are you presently suffering from any of the symptoms listed below?* Symptoms: fever with acute onset and/or cough with acute onset and/or shortness of breath, and/or diarrhea and/or vomiting and/or body ache and/or loss of smell and/or , loss of taste.

YesNo

Question 4: Have you been tested for COVID-19 in the past 14 days ? *

YesNo

I, (My name mentioned below) acknowledge that the above information is correct and I do accept the consequences on false information.

Invalid Security Code entered !