Self-Declaration Form (Back to Work)
We will soon be resuming our operations in our office locations across KSA. It is essential for you to fill and submit this self-declaration form prior to coming to the office to ensure the safety and well-being of all of us.
Email
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Mail
1.Have you or someone you've been in close proximity to diagnosed with or suspected of being infected by COVID-19 in the past 14 days?
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No
Yes (if yes, please connect with your hrbp)
2. Have you experienced any of the Coronavirus infection symptoms in the last 14 days such as: fever, cough, aches and pains, nasal congestion, runny nose, sore throat?
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No, I have not experienced any symptoms
Yes, I have experienced at least one symptom
3. Everyone in my household (family, friends, flatmates) are healthy and do not show any signs and symptoms of COVID-19:
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Yes (they are healthy and do not show any signs)
No (they have showed at least one sign or symptom)
4. I acknowledge that the information provided is true and correct to the best of my knowledge.
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Yes, I acknowledge
No
Submit
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