AOEMM Health Declaration Form

Dear Sir/Madam,

To prevent the spread of COVID-19 in our community and reduce the risk of exposure to our staff and other participants, we are conducting a simple screening questionnaire. Your cooperation is important to help us take precautionary measures to protect you and everyone in the training.

Please complete this online form. (COMPULSARY)

Thank you for your cooperation.

Health Declaration Form
Please complete the online form.


Please fill up the Health Declaration Form TRUTHFULLY. If you fail to do so you can be charged under ACT 342 Prevention and Control Of Infection Diseases 1988
Related to Question 6
Definition close contact • Health care associated exposure, including providing direct care for COVID-19 patients, working with health care workers infected with COVID-19, visiting patients or staying in the same close environment of a COVID-19 patient. • Working together in close proximity or sharing the same classroom environment with a with COVID-19 patient • Traveling together with COVID-19 patient in any kind of conveyance • Living in the same household as a COVID-19 patient
• If the answer is yes to either of the question above, or have any of the above symptoms, you are advised NOT to attend the course and immediately seek for medical attention. Please contact our Secretariat.