Out-town Arrangement
*
Mandatory fields
We strive to establish a caring culture and interactive relationship with our residents. In order to better protect the residents' safety and provide assistance where necessary, we would like you to fill out this form if you plan to leave Hong Kong or have left Hong Kong for the past 14 days.
Personal Particulars
Name of Resident
Student ID
Room No.
Contact No.
Email Address
Part I : Details of Out-town Arrangement
I will be out of town shortly.
I have been out of town in the past 14 days.
Duration of the Out-town (From / To)
Destination
(Please state the city and/or country. If you have been or will go to Mainland China, please state the province/city)
Purpose of the Trip
Part II : Personal Health Condition
I have contracted diseases during my out-town trip.
I have NOT contracted any diseases during my out-town trip.
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